MEDICARE: MARCI WESTMAN

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1548815095
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCI WESTMAN

Provider Business Mailing Address
First Line	:	15172 W EATON HWY
Second Line	:
City	:	GRAND LEDGE
State	:	MI
Zip	:	48837-9753
Country	:	US
Telephone Number	:	517-256-0663
Fax Number	:

Provider Business Practice Location Address
First Line	:	15172 W EATON HWY
Second Line	:
City	:	GRAND LEDGE
State	:	MI
Zip	:	48837-9753
Country	:	US
Telephone Number	:	517-256-0663
Fax Number	:

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

Provider Enumeration Date	:	08/01/2019
Last Update Date	:	08/01/2019

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Directions to “ MARCI WESTMAN ” Practice Location

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