Provider Demographics
NPI:1093161259
Name:WHITTINGTON, WILLIAM (DPT)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:
Last Name:WHITTINGTON
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2028 W POPLAR AVE
Mailing Address - Street 2:SUITE 113
Mailing Address - City:COLLIERVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38017
Mailing Address - Country:US
Mailing Address - Phone:540-847-0867
Mailing Address - Fax:
Practice Address - Street 1:2028 W POPLAR AVE
Practice Address - Street 2:SUITE 113
Practice Address - City:COLLIERVILLE
Practice Address - State:TN
Practice Address - Zip Code:38017
Practice Address - Country:US
Practice Address - Phone:901-850-5500
Practice Address - Fax:901-850-5570
Is Sole Proprietor?:No
Enumeration Date:2016-05-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN113072251X0800X
MSPT59262251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic