Provider Demographics
NPI:1730989880
Name:WHITNEY, GREG ROGERS (THERAPIST)
Entity type:Individual
Prefix:
First Name:GREG
Middle Name:ROGERS
Last Name:WHITNEY
Suffix:
Gender:
Credentials:THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2124 E WEEPING WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE MOUNTAIN
Mailing Address - State:UT
Mailing Address - Zip Code:84005-4331
Mailing Address - Country:US
Mailing Address - Phone:801-899-5036
Mailing Address - Fax:
Practice Address - Street 1:2124 E WEEPING WILLOW WAY
Practice Address - Street 2:
Practice Address - City:EAGLE MOUNTAIN
Practice Address - State:UT
Practice Address - Zip Code:84005-4331
Practice Address - Country:US
Practice Address - Phone:801-899-5036
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics