Provider Demographics
NPI:1023068491
Name:WHITNEY L ATCHETEE LTD
Entity type:Organization
Organization Name:WHITNEY L ATCHETEE LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICAL THERAPIST
Authorized Official - Prefix:PROF
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ATCHETEE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:337-239-3258
Mailing Address - Street 1:317 ODEA ST
Mailing Address - Street 2:
Mailing Address - City:ABBEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70510-4052
Mailing Address - Country:US
Mailing Address - Phone:337-893-3258
Mailing Address - Fax:337-898-0495
Practice Address - Street 1:317 ODEA ST
Practice Address - Street 2:
Practice Address - City:ABBEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70510-4052
Practice Address - Country:US
Practice Address - Phone:337-893-3258
Practice Address - Fax:337-898-0495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA5C502Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER