Provider Demographics
NPI:1447927660
Name:MARKSON, WHITNEY JENELLE (DPT)
Entity type:Individual
Prefix:DR
First Name:WHITNEY
Middle Name:JENELLE
Last Name:MARKSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2324 BRYANT AVE S APT 305
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55405-2859
Mailing Address - Country:US
Mailing Address - Phone:952-686-8006
Mailing Address - Fax:
Practice Address - Street 1:60 MARIE AVE E STE 203
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-5932
Practice Address - Country:US
Practice Address - Phone:651-451-6156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11750225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist