IndividualActive
Douglas White, MSPT, L/ATC, CSCS
NPI 1184655458 · Sports Physical Therapist · Andover, MA
Provider details
- NPI number
- 1184655458
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MSPT, L/ATC, CSCS
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Orthopedic Physical Therapist2251X0800X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
187 Andover St
Andover, MA 01810-5638
Phone: (978) 658-5556
Fax: (978) 658-5269
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4053
Andover, MA 01810-0811
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2010-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.