Provider Demographics
NPI:1053120147
Name:STARRS, WHITNEY ANNE (CHHC, CPT)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ANNE
Last Name:STARRS
Suffix:
Gender:F
Credentials:CHHC, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GROSSE POINTE
Mailing Address - State:MI
Mailing Address - Zip Code:48230-1228
Mailing Address - Country:US
Mailing Address - Phone:313-829-4390
Mailing Address - Fax:
Practice Address - Street 1:718 WASHINGTON RD
Practice Address - Street 2:
Practice Address - City:GROSSE POINTE
Practice Address - State:MI
Practice Address - Zip Code:48230-1228
Practice Address - Country:US
Practice Address - Phone:313-829-4390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-03
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ24133092255A2300X
OH171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer