Provider Demographics
NPI:1639421167
Name:QUAST, WHITNEY ELIZABETH (MS)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ELIZABETH
Last Name:QUAST
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ELIZABETH
Other - Last Name:HAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:23521 BELMONT ST
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:MN
Mailing Address - Zip Code:55031-9647
Mailing Address - Country:US
Mailing Address - Phone:715-222-2960
Mailing Address - Fax:651-267-5946
Practice Address - Street 1:701 FAIRVIEW BLVD
Practice Address - Street 2:
Practice Address - City:RED WING
Practice Address - State:MN
Practice Address - Zip Code:55066-2848
Practice Address - Country:US
Practice Address - Phone:651-267-5460
Practice Address - Fax:651-267-5946
Is Sole Proprietor?:No
Enumeration Date:2012-10-08
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist