Provider Demographics
NPI:1346585072
Name:TOSTENSON, WHITNEY F (MOT, OTRIL)
Entity Type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:F
Last Name:TOSTENSON
Suffix:
Gender:F
Credentials:MOT, OTRIL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 GLEN MARTIN DR
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-2519
Mailing Address - Country:US
Mailing Address - Phone:603-359-4194
Mailing Address - Fax:775-829-4710
Practice Address - Street 1:4600 KIETZKE LANE
Practice Address - Street 2:SUITE C-120
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502
Practice Address - Country:US
Practice Address - Phone:603-359-4194
Practice Address - Fax:775-829-4710
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12-0282225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV296505Medicare PIN