Provider Demographics
NPI:1417588823
Name:ROLING, WHITNEY
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:ROLING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 156
Mailing Address - Street 2:
Mailing Address - City:MC CAUSLAND
Mailing Address - State:IA
Mailing Address - Zip Code:52758-0156
Mailing Address - Country:US
Mailing Address - Phone:563-340-3097
Mailing Address - Fax:
Practice Address - Street 1:210 N SALINA ST
Practice Address - Street 2:
Practice Address - City:MC CAUSLAND
Practice Address - State:IA
Practice Address - Zip Code:52758-2301
Practice Address - Country:US
Practice Address - Phone:563-340-3097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-04
Last Update Date:2020-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant