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NPI Code Detail

MEDICARE: WHITNEY ATKINSON

MEDICARE: WHITNEY ATKINSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant5502001305MI

General Provider Information

NPI Number : 1053805374
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY ATKINSON
Provider Business Mailing Address
First Line : 3939 KATIE CT
Second Line :
City : HUDSONVILLE
State : MI
Zip : 49426-7332
Country : US
Telephone Number : 616-617-7052
Fax Number :
Provider Business Practice Location Address
First Line : 3400 WILSON AVE SW
Second Line :
City : GRANDVILLE
State : MI
Zip : 49418-1854
Country : US
Telephone Number : 616-534-5487
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2018
Last Update Date : 06/20/2018

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Directions to “ WHITNEY ATKINSON ” Practice Location

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