Provider Demographics
NPI:1265714364
Name:DEWEESE, WHITNEY BROOKE (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:BROOKE
Last Name:DEWEESE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:BROOKE
Other - Last Name:MCGUFFEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4101 TATES CREEK CENTRE DR
Mailing Address - Street 2:STE 144
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40517-3066
Mailing Address - Country:US
Mailing Address - Phone:859-217-2887
Mailing Address - Fax:
Practice Address - Street 1:4101 TATES CREEK CENTRE DR
Practice Address - Street 2:STE 144
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40517-3066
Practice Address - Country:US
Practice Address - Phone:859-217-2887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-14
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005898225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist