MISS Jessica M Westenhaver, PTA

NPI #1235375023 in Mattoon, Illinois

Provider Information

NPI Number: 1235375023
Entity Type: Individual
Name: MISS Jessica M Westenhaver, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: PTA
Enumeration Date: Dec 28, 2008
Last Updated: Dec 28, 2008

Practice Location

Address: 1613 EDGAR AVE
City: Mattoon
State: Illinois
ZIP Code: 61938-5249
Phone: (217) 294-1706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X
Massage Therapist	225700000X	Primary

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