MEDICARE: LAUREN WHITTEN

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
1	225200000X	Physical Therapy Assistant		MS

General Provider Information

NPI Number	:	1841136199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN WHITTEN

Provider Business Mailing Address
First Line	:	803 COUNTY ROAD 54
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-8949
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	803 COUNTY ROAD 54
Second Line	:
City	:	NEW ALBANY
State	:	MS
Zip	:	38652-8949
Country	:	US
Telephone Number	:	662-316-6475
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ LAUREN WHITTEN ” Practice Location

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