Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1227 | PA |
NPI | 1356399224 |
---|---|
Provider Name | Ms. Christina J Whitney |
First Address | Beckley, WV 25801-2559 |
Second Address | Beckley, WV 25801-6444 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1227 | CERTIFICATION (KT) (01) | WV |