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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILLIP TRISTIAN WHITAKER, PTA

Active

PHILLIP TRISTIAN WHITAKER, PTA is a Occupational Therapist healthcare provider located in MULBERRY, Tennessee. NPI 1568261303 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MULBERRY, TN

Registration Details

NPI Number
1568261303
Provider Type
Individual
Gender
Male
NPI Issued
Mar 12, 2025 (1.429301099512 yrs)
Last Updated
Mar 12, 2025
License
1823 (TN)

Practice Information

Address
421 CHAMP RD
MULBERRY, TN, 373595678
Browse TN providers · Browse ZIP 37359
Phone
9315817950
Primary Specialty
Occupational Therapist
225200000X
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.