NPI 1740687003

William Whitacre, LMP

Practitioner Mechanotherapist Gig Harbor, WA

Practice location

Address: 11204 74th Ave NW, Gig Harbor, WA 98332-6803
Phone: (253) 666-3976

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA 60519560 (WA)

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Registry record

NPI: 1740687003
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Dec 2014
Record last updated: 1 Dec 2014

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.