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NPI Code Detail

MEDICARE: DARCI WHITTED

MEDICARE: DARCI WHITTED
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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1376062323
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCI WHITTED
Provider Business Mailing Address
First Line : 4020 COLUMBUS AVE
Second Line :
City : ANDERSON
State : IN
Zip : 46013-5010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4020 COLUMBUS AVE
Second Line :
City : ANDERSON
State : IN
Zip : 46013-5010
Country : US
Telephone Number : 765-341-7605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2017
Last Update Date : 11/08/2019

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Directions to “ DARCI WHITTED ” Practice Location

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