Provider Demographics
NPI:1093281511
Name:SCHLEIFFARTH, WHITNEY CARSON
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:CARSON
Last Name:SCHLEIFFARTH
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:WHITNEY
Other - Last Name:CARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13995 CLAYTON RD
Mailing Address - Street 2:
Mailing Address - City:TOWN AND COUNTRY
Mailing Address - State:MO
Mailing Address - Zip Code:63017-8400
Mailing Address - Country:US
Mailing Address - Phone:636-227-5070
Mailing Address - Fax:
Practice Address - Street 1:13995 CLAYTON RD
Practice Address - Street 2:
Practice Address - City:TOWN AND COUNTRY
Practice Address - State:MO
Practice Address - Zip Code:63017-8400
Practice Address - Country:US
Practice Address - Phone:636-227-5070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2018-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016028529225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist