Provider Demographics
NPI:1942877642
Name:WHITE, WHITNEY L (OT)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:L
Last Name:WHITE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:L
Other - Last Name:VALASEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:307 ROAD T
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NE
Mailing Address - Zip Code:68351-9205
Mailing Address - Country:US
Mailing Address - Phone:308-750-4107
Mailing Address - Fax:
Practice Address - Street 1:307 ROAD T
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NE
Practice Address - Zip Code:68351-9205
Practice Address - Country:US
Practice Address - Phone:308-750-4107
Practice Address - Fax:308-398-5232
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2552225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist