Provider Demographics
NPI:1407328024
Name:RODGERS, WHITNEY NICOLE (DPT)
Entity Type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:NICOLE
Last Name:RODGERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 CYPRESS CREEK RD APT 8215
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-3417
Mailing Address - Country:US
Mailing Address - Phone:910-520-9630
Mailing Address - Fax:
Practice Address - Street 1:12411 HYMEADOW DRIVE BUILDING 3, SUITE 3B
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1874
Practice Address - Country:US
Practice Address - Phone:512-335-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-20
Last Update Date:2018-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic