Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES DERRICK WHITAKER, DPT
Active Sole ProprietorCHARLES DERRICK WHITAKER, DPT is a Physical Therapy Assistant healthcare provider located in JACKSON, Kentucky. NPI 1407150006 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSON, KY
Registration Details
- NPI Number
- 1407150006
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 22, 2010 (15.621473892351 yrs)
- Last Updated
- Dec 22, 2010
- License
-
005707 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
695 HIGHWAY 15 N STE 3JACKSON, KY, 413397005Browse KY providers · Browse ZIP 41339
- Phone
- 6066669293
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JACKSON, KY
| Name | Credential | NPI |
|---|---|---|
| ALOYSIUS FRANCIS MEIVES IV | — | 1861550352 |
| MR. JAMES BRIAN MORRIS | P.T. | 1235291584 |
| KATRINA ANDERSON BOSTRON | PT | 1619029451 |
| JONATHAN CHARLES MORRIS | PT | 1265784045 |
| MR. KOLBY ALLEN WATTS | PT | 1699100545 |
| MRS. REBECCA LEE WATTS | PT, DPT | 1710700828 |
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.