Provider Demographics
NPI:1659497683
Name:WESTLUND, ALLISON FERN (PT)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:FERN
Last Name:WESTLUND
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 1:415 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-2020
Mailing Address - Country:US
Mailing Address - Phone:320-259-9200
Mailing Address - Fax:
Practice Address - Street 1:400 BROADWAY AVE N
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:MN
Practice Address - Zip Code:56329-8794
Practice Address - Country:US
Practice Address - Phone:320-968-4677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7211225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist