Provider Demographics
NPI:1609691609
Name:WHITMIREPT, LLC
Entity type:Organization
Organization Name:WHITMIREPT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:GREENE
Authorized Official - Last Name:WHITMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:828-463-3027
Mailing Address - Street 1:136 WHITMIRE FARMS DR
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-7379
Mailing Address - Country:US
Mailing Address - Phone:828-553-2747
Mailing Address - Fax:877-756-7834
Practice Address - Street 1:69 HENDERSONVILLE HWY STE 3
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-8929
Practice Address - Country:US
Practice Address - Phone:828-463-3027
Practice Address - Fax:877-756-7834
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-15
Last Update Date:2024-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty