MEDICARE: JACLYN MARIE WESTFALL ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	2000025074	VA

General Provider Information

NPI Number	:	1386182442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JACLYN MARIE WESTFALL ATC

Provider Business Mailing Address
First Line	:	800 CHATHAM HALL CIR
Second Line	:
City	:	CHATHAM
State	:	VA
Zip	:	24531-3084
Country	:	US
Telephone Number	:	925-788-5215
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 CHATHAM HALL CIR
Second Line	:
City	:	CHATHAM
State	:	VA
Zip	:	24531-3084
Country	:	US
Telephone Number	:	925-788-5215
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2017
Last Update Date	:	02/08/2017

Similar Medicare Providers

1518960673 — DR. MINESH SHAH M.D.
Practice Location Address:

13908 US HIGHWAY 29
CHATHAM, VA
24531-3669

Practice Phone: 434-432-0216
Practice Fax: 434-432-3425

1568464709 — THOMPSON FAMILY MEDICAL CENTER, PC
Practice Location Address:

19144 US HIGHWAY 29
CHATHAM, VA
24531-5253

Practice Phone: 434-432-0216
Practice Fax:

1588647135 — COMMONWEALTH OF VA STATE BOARD OF HEALTH
Practice Location Address:

200 H G MC GHEE DR
CHATHAM, VA
24531

Practice Phone: 434-432-7232
Practice Fax: 434-432-7235

1912963539 — MS. DIANE G SCOTT FNP
Practice Location Address:

200 HG MCGLEE DRIVE
CHATHAM, VA
24531

Practice Phone: 434-432-7232
Practice Fax: 434-432-7235

1407801541 — MRS. CORLISS JONES MD
Practice Location Address:

4 S MAIN ST
CHATHAM, VA
24531-5436

Practice Phone: 434-432-4443
Practice Fax: 434-432-3555

1801817317 — DR. CHRISTIE ALTICE WEAVER O.D.
Practice Location Address:

CHATHAM FAMILY EYECARE CENTER , 13995 US HIGHWAY 29 SUITE 100
CHATHAM, VA
24531

Practice Phone: 434-432-9752
Practice Fax: 434-432-8580

Directions to “ JACLYN MARIE WESTFALL ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.