Provider Demographics
NPI:1073231494
Name:WHITWORTH, MAEGAN LYNN (PT, DPT)
Entity type:Individual
Prefix:
First Name:MAEGAN
Middle Name:LYNN
Last Name:WHITWORTH
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:MAEGAN
Other - Middle Name:LYNN
Other - Last Name:ROLLOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1761 W JESSE JAMES RD
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR SPRINGS
Mailing Address - State:MO
Mailing Address - Zip Code:64024-1801
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1761 W JESSE JAMES RD
Practice Address - Street 2:
Practice Address - City:EXCELSIOR SPRINGS
Practice Address - State:MO
Practice Address - Zip Code:64024-1801
Practice Address - Country:US
Practice Address - Phone:816-630-7300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-22
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS11-07584225100000X
MO2024040371225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist