Basic Information
| Provider Information | |||||||||
| NPI: | 1619481546 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | WHITTUM | ||||||||
| FirstName: | CARA | ||||||||
| MiddleName: | A. | ||||||||
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| Credential: | CDE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 GILES RD | ||||||||
| Address2: | |||||||||
| City: | EAST KINGSTON | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038272010 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6037701169 | ||||||||
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| Practice Location | |||||||||
| Address1: | 21 HAMPTON RD | ||||||||
| Address2: | |||||||||
| City: | EXETER | ||||||||
| State: | NH | ||||||||
| PostalCode: | 038334831 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6034186310 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/30/2017 | ||||||||
| LastUpdateDate: | 11/30/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Y00000X | 1986 | NH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Clinical Exercise Physiologist |
No ID Information.