Provider Demographics
NPI:1013130681
Name:WHITSON THERAPY SERVICES PC
Entity Type:Organization
Organization Name:WHITSON THERAPY SERVICES PC
Other - Org Name:CENTER POINT PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACI
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:WHITSON
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:319-350-6990
Mailing Address - Street 1:12 RED MAPLE CT
Mailing Address - Street 2:
Mailing Address - City:CENTRAL CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52214-9537
Mailing Address - Country:US
Mailing Address - Phone:319-350-6990
Mailing Address - Fax:
Practice Address - Street 1:12 RED MAPLE CT
Practice Address - Street 2:
Practice Address - City:CENTRAL CITY
Practice Address - State:IA
Practice Address - Zip Code:52214-9537
Practice Address - Country:US
Practice Address - Phone:319-350-6990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-11
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA02696225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty