Provider Demographics
NPI:1154660777
Name:RUDESILL, WHITNEY LYNN (DC)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:LYNN
Last Name:RUDESILL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:LYNN
Other - Last Name:FRANKLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:2801 HARVEY ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-8170
Mailing Address - Country:US
Mailing Address - Phone:651-246-3707
Mailing Address - Fax:
Practice Address - Street 1:2801 HARVEY ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:WI
Practice Address - Zip Code:54016-8170
Practice Address - Country:US
Practice Address - Phone:715-575-9355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-01
Last Update Date:2022-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5184111N00000X
MN5768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor