Provider Demographics
NPI:1215250428
Name:WHITMAN, MICHELLE (CMT)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:WHITMAN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3672 HICKORY HILL RD
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015-5527
Mailing Address - Country:US
Mailing Address - Phone:610-694-9966
Mailing Address - Fax:
Practice Address - Street 1:860 BROAD ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-3630
Practice Address - Country:US
Practice Address - Phone:610-965-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist