Provider Demographics
NPI:1750641296
Name:SIPPL, WHITNEY ANN (DPT, WCS, IBCLC)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:ANN
Last Name:SIPPL
Suffix:
Gender:F
Credentials:DPT, WCS, IBCLC
Other - Prefix:
Other - First Name:WHITNEY
Other - Middle Name:ANN
Other - Last Name:SWEET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 AMBERLEAF
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-7917
Mailing Address - Country:US
Mailing Address - Phone:262-391-7943
Mailing Address - Fax:
Practice Address - Street 1:7 AMBERLEAF
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-7917
Practice Address - Country:US
Practice Address - Phone:262-391-7943
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
L-313160174N00000X
NY033905225100000X
CA39263225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174N00000XOther Service ProvidersLactation Consultant, Non-RN