Provider Demographics
NPI:1821548694
Name:WHETSTINE, CARLI (DPT)
Entity Type:Individual
Prefix:DR
First Name:CARLI
Middle Name:
Last Name:WHETSTINE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:CARLI
Other - Middle Name:
Other - Last Name:HEFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:717 N BROWN ST
Mailing Address - Street 2:
Mailing Address - City:ALMA
Mailing Address - State:NE
Mailing Address - Zip Code:68920-0836
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:717 N BROWN ST
Practice Address - Street 2:
Practice Address - City:ALMA
Practice Address - State:NE
Practice Address - Zip Code:68920-0836
Practice Address - Country:US
Practice Address - Phone:308-928-3002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-05
Last Update Date:2019-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist