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1003421298 NPI number — WHITNEY JO RESSETT PT, DPT, OCS

NPI Number: 1003421298
Health Care Provider/Practitioner: WHITNEY JO RESSETT PT, DPT, OCS

Information about “1003421298” NPI (WHITNEY JO RESSETT PT, DPT, OCS) exists in 1003421298 in HTML format HTML  |  1003421298 in plain Text format TXT  |  1003421298 in PDF (Portable Document Format) PDF  |  1003421298 in an XML format XML  formats.

NPI Number : 1003421298 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003421298",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RESSETT",
    "FirstName": "WHITNEY",
    "MiddleName": "JO",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "PT, DPT, OCS",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "24 MADISON SQUARE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MADISONVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "42431-2740",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "24 MADISON SQUARE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MADISONVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "42431-2740",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "270-824-9227",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/14/2020",
    "LastUpdateDate": "11/18/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2251X0800X",
          "TaxonomyName": "Orthopedic Physical Therapist",
          "LicenseNumber": "TP2020059",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "008129",
          "LicenseNumberStateCode": "KY",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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