Provider Demographics
NPI:1710421946
Name:MCWHINNEY, BOBBI (ATC/L)
Entity Type:Individual
Prefix:MRS
First Name:BOBBI
Middle Name:
Last Name:MCWHINNEY
Suffix:
Gender:F
Credentials:ATC/L
Other - Prefix:MRS
Other - First Name:BOBBI
Other - Middle Name:
Other - Last Name:HARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC/L
Mailing Address - Street 1:7545 AIRWAYS BLVD
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-5806
Mailing Address - Country:US
Mailing Address - Phone:334-268-1817
Mailing Address - Fax:
Practice Address - Street 1:7545 AIRWAYS BLVD
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-5806
Practice Address - Country:US
Practice Address - Phone:334-268-1817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-07
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSAT06562255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer