Provider Demographics
NPI:1205405784
Name:WESTHOFF, NATALIE LYNN (PT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:LYNN
Last Name:WESTHOFF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4901 TOWNE CENTRE RD STE 300
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-2889
Mailing Address - Country:US
Mailing Address - Phone:989-498-5115
Mailing Address - Fax:989-498-5123
Practice Address - Street 1:4901 TOWNE CENTRE RD STE 300
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-2889
Practice Address - Country:US
Practice Address - Phone:989-498-5115
Practice Address - Fax:989-498-5123
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-21
Last Update Date:2021-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501020033225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist