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NPI Code Detail

MEDICARE: WHITNEY FARREN NEWBERRY

MEDICARE:   WHITNEY FARREN NEWBERRY
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 Assistant4738TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14738OTHERTNTENNESSEE PHYSICAL THERAPIST ASSISTANT LICENSURE

General Provider Information

NPI Number : 1982176129
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY FARREN NEWBERRY
Provider Business Mailing Address
First Line : 1035 WILLETTE RD
Second Line :
City : RED BOILING SPRINGS
State : TN
Zip : 37150-3647
Country : US
Telephone Number : 615-699-3949
Fax Number :
Provider Business Practice Location Address
First Line : 120 PITCOCK LN
Second Line :
City : CELINA
State : TN
Zip : 38551-4058
Country : US
Telephone Number : 931-243-3139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2018
Last Update Date : 12/28/2018

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Directions to “ WHITNEY FARREN NEWBERRY ” Practice Location

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