Provider Demographics
NPI:1023026218
Name:WHITRIDGE, FRANK PIERREPONT JR (BA, LMT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:PIERREPONT
Last Name:WHITRIDGE
Suffix:JR
Gender:M
Credentials:BA, LMT
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Mailing Address - Street 1:1232 BONEFISH CT
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34949-2901
Mailing Address - Country:US
Mailing Address - Phone:772-332-6116
Mailing Address - Fax:772-460-0581
Practice Address - Street 1:1232 BONEFISH CT
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34949-2901
Practice Address - Country:US
Practice Address - Phone:772-332-6116
Practice Address - Fax:772-460-0581
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLMA9129225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist