| NPI | 1831756113 |
|---|---|
| Former Name | JENNIFER ANN WHIPPLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-06149) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2020027211) |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2022-05-13 |