Provider Demographics
NPI:1316139728
Name:CECIL, WHITNEY MARIE
Entity type:Individual
Prefix:MRS
First Name:WHITNEY
Middle Name:MARIE
Last Name:CECIL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 BUCK TRCE
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-8605
Mailing Address - Country:US
Mailing Address - Phone:270-929-5984
Mailing Address - Fax:
Practice Address - Street 1:5756 STATE ROUTE 136 E
Practice Address - Street 2:
Practice Address - City:CALHOUN
Practice Address - State:KY
Practice Address - Zip Code:42327-9653
Practice Address - Country:US
Practice Address - Phone:270-929-5984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-10
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist