Provider Demographics
NPI:1356538367
Name:WESTCOTT, TERRENCE ARTHUR (PT)
Entity type:Individual
Prefix:MR
First Name:TERRENCE
Middle Name:ARTHUR
Last Name:WESTCOTT
Suffix:
Gender:M
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:PO BOX 822
Mailing Address - Street 2:
Mailing Address - City:WHITE CLOUD
Mailing Address - State:MI
Mailing Address - Zip Code:49349-0822
Mailing Address - Country:US
Mailing Address - Phone:231-652-2343
Mailing Address - Fax:231-652-2343
Practice Address - Street 1:220 S CHARLES ST.
Practice Address - Street 2:
Practice Address - City:WHITE CLOUD
Practice Address - State:MI
Practice Address - Zip Code:49349
Practice Address - Country:US
Practice Address - Phone:231-689-5800
Practice Address - Fax:231-689-5802
Is Sole Proprietor?:No
Enumeration Date:2007-10-03
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501003075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist