Provider Demographics
NPI:1417955915
Name:WHITNEY, CATHERINE (PT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 15TH ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-6557
Mailing Address - Country:US
Mailing Address - Phone:202-546-1904
Mailing Address - Fax:202-546-1904
Practice Address - Street 1:211 15TH ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-6557
Practice Address - Country:US
Practice Address - Phone:202-546-1904
Practice Address - Fax:202-546-1904
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20532225100000X
DC870058225100000X
VA2305204836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist