NPI 1417458662

Whitney Marie Witherspoon

Practitioner Prosthetist Florissant, MO

Practice location

Address: 3821 Vaile Ave, Florissant, MO 63034-2227
Phone: (314) 438-7176

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence 2013036768 (MO)

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Registry record

NPI: 1417458662
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Feb 2018
Record last updated: 23 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.