Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BARRY DWAYNE WHITESIDE, PT
ActiveBARRY DWAYNE WHITESIDE, PT is a Physical Therapy Assistant healthcare provider located in FORT LEONARD WOOD, Missouri. NPI 1073556973 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FORT LEONARD WOOD, MO
Registration Details
- NPI Number
- 1073556973
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2006 (20.13118615213 yrs)
- Last Updated
- Jul 8, 2007
- License
-
2789 (SC)
Practice Information
- Address
-
126 MISSOURI AVEMCXP-CCS-CRFORT LEONARD WOOD, MO, 654738952Browse MO providers · Browse ZIP 65473
- Phone
- 5735960417
- Fax
- 5735960524
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FORT LEONARD WOOD, MO
| Name | Credential | NPI |
|---|---|---|
| MRS. CHRISTINE MARIE TITKO | MPT | 1447261763 |
| MRS. MARYCRIS MEDINA GANDIONCO | P.T. | 1003912007 |
| ANGELA RENEE DIEBAL-LEE | DPT, DSC, OCS, SCS | 1235296112 |
| MATTHEW SCOTT NEAL | DPT | 1831317072 |
| MS. DEIDRA MARIE EDWARDS | PT | 1386846772 |
| MICHAEL ANTHONY MORRIS | PT | 1831377290 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.