Provider Demographics
NPI:1295861060
Name:WHYTE, JOANNE D (MS, ATC, LAT, PFT)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:D
Last Name:WHYTE
Suffix:
Gender:F
Credentials:MS, ATC, LAT, PFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:196 FREEDOM ST
Mailing Address - Street 2:
Mailing Address - City:HOPEDALE
Mailing Address - State:MA
Mailing Address - Zip Code:01747-1612
Mailing Address - Country:US
Mailing Address - Phone:508-473-0654
Mailing Address - Fax:508-634-8538
Practice Address - Street 1:NEW BEGINNINGS
Practice Address - Street 2:2 EVERGREEN LN, UNIT 11
Practice Address - City:HOPEDALE
Practice Address - State:MA
Practice Address - Zip Code:01747
Practice Address - Country:US
Practice Address - Phone:508-494-0931
Practice Address - Fax:508-634-8538
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3342255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer