Provider Demographics
NPI:1871272070
Name:WHITTLE, SHEYLA RENEE (LMT)
Entity type:Individual
Prefix:MS
First Name:SHEYLA
Middle Name:RENEE
Last Name:WHITTLE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:2238 SELIM AVE APT 5
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45214-1581
Mailing Address - Country:US
Mailing Address - Phone:513-592-8165
Mailing Address - Fax:
Practice Address - Street 1:3187 WESTERN ROW RD STE 114
Practice Address - Street 2:
Practice Address - City:MAINEVILLE
Practice Address - State:OH
Practice Address - Zip Code:45039-8014
Practice Address - Country:US
Practice Address - Phone:513-770-3434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-14
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.023973225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist