Provider Demographics
NPI:1942075957
Name:TAPP, WHITNEY PAIGE (CP, LP, PTA, MSPO)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:PAIGE
Last Name:TAPP
Suffix:
Gender:F
Credentials:CP, LP, PTA, MSPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3625 W CHESTNUT ST STE B
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72756-0351
Mailing Address - Country:US
Mailing Address - Phone:479-343-8001
Mailing Address - Fax:479-488-3409
Practice Address - Street 1:3625 W CHESTNUT ST STE B
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-0351
Practice Address - Country:US
Practice Address - Phone:479-343-8001
Practice Address - Fax:479-488-3409
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROPPP00326224P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist