Mark A Whitley, P.T. Valid NPI
Individual provider · Physical Therapist · Liberty Lake, WA
- NPI
- 1720165913
- Type
- Individual (Type 1)
- Primary specialty
- Physical Therapist
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 225100000X
- License number
- PT00002835 (WA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-11-01
- Last updated
- 2013-09-23
Practice location
23806 E Broadway Ave
Liberty Lake, WA 99019-9665
(509) 868-7202