Provider Demographics
NPI:1053193185
Name:SHAHIN, WHITNEY LYNN (LMT)
Entity type:Individual
Prefix:MS
First Name:WHITNEY
Middle Name:LYNN
Last Name:SHAHIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2134 NICHOLASVILLE RD STE 12
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-2521
Mailing Address - Country:US
Mailing Address - Phone:502-661-1777
Mailing Address - Fax:859-551-5287
Practice Address - Street 1:2134 NICHOLASVILLE RD STE 12
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-2521
Practice Address - Country:US
Practice Address - Phone:502-661-1777
Practice Address - Fax:859-551-5287
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist