Male or Other

Bruce H. Whiteside PT

Physical Therapist in Yakima, WA(View on Map)

Full Name

Bruce Harlow Whiteside PT

NPI Number

1669518080

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/30/2007

Specialties

(Taxonomies)

Code

225100000X

Primary Taxonomy

Yes

Licenses

State

Washington

License Number

025208PT00003202

Contact
Information

Purpose

Mailing
Location

Address

1110 N. 35TH AVE
1110 N. 35TH AVE

City

Yakima
Yakima

State

WA
WA

Postal Code

98902-7800
98902-7800

Country

US
US

Telephone Number

(509) 457-0202
(509) 457-0202

Identifiers

Identifier

7059157

Identifier State

WA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/04/2014

Provider Address

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