Mr Clinton Allen Whittenberg, LMT is a
Massage Therapist based in La Grange, Kentucky. Mr Clinton Allen Whittenberg is licensed to practice in Kentucky (license number KY0384) and his current practice location is
520 Jericho Rd., La Grange, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(502) 222-7623.
NPI number for Mr Clinton Allen Whittenberg is 1245565951 and his current mailing address is Po Box 101, La Grange, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245565951.
Healthcare Provider's Profile
Full Name | Mr Clinton Allen Whittenberg |
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Gender | Male |
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Speciality | Massage Therapist |
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Location | 520 Jericho Rd., La Grange, Kentucky |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245565951
- Provider Enumeration Date: 10/14/2009
- Last Update Date: 10/14/2009
Medical Identifiers
Medical identifiers for Mr Clinton Allen Whittenberg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245565951 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | KY0384 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Clinton Allen Whittenberg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Clinton Allen Whittenberg, LMT Po Box 101, La Grange, KY 40031-0101 Ph: (502) 222-7623 | Mr Clinton Allen Whittenberg, LMT 520 Jericho Rd., La Grange, KY 40031-0101 Ph: (502) 222-7623 |
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