Provider Demographics
NPI:1720438617
Name:VANDER VEEN, WHITNEY (PT, DPT, ATC)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:VANDER VEEN
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:
Other - Last Name:STEINGARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, ATC
Mailing Address - Street 1:1412 A AVE W STE A
Mailing Address - Street 2:
Mailing Address - City:OSKALOOSA
Mailing Address - State:IA
Mailing Address - Zip Code:52577-1970
Mailing Address - Country:US
Mailing Address - Phone:641-676-3535
Mailing Address - Fax:641-676-3537
Practice Address - Street 1:1412 A AVE W STE A
Practice Address - Street 2:
Practice Address - City:OSKALOOSA
Practice Address - State:IA
Practice Address - Zip Code:52577-1970
Practice Address - Country:US
Practice Address - Phone:641-676-3535
Practice Address - Fax:641-676-3537
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA083237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist