Provider Demographics
NPI:1619416559
Name:WHITE, HENRY DULIN II (PT, PHD)
Entity Type:Individual
Prefix:MR
First Name:HENRY
Middle Name:DULIN
Last Name:WHITE
Suffix:II
Gender:M
Credentials:PT, PHD
Other - Prefix:
Other - First Name:HANK
Other - Middle Name:
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, PHD
Mailing Address - Street 1:110 CONN TER
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40508-3206
Mailing Address - Country:US
Mailing Address - Phone:859-268-5771
Mailing Address - Fax:859-268-5779
Practice Address - Street 1:110 CONN TER
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3206
Practice Address - Country:US
Practice Address - Phone:859-268-5771
Practice Address - Fax:859-268-5779
Is Sole Proprietor?:No
Enumeration Date:2017-02-13
Last Update Date:2017-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic