Provider Demographics
NPI:1841858453
Name:WESTLING, JEFFREY THOMAS
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:THOMAS
Last Name:WESTLING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19822 N 33RD PL
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-7909
Mailing Address - Country:US
Mailing Address - Phone:602-448-9272
Mailing Address - Fax:
Practice Address - Street 1:1640 E RIVER RD STE 215
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-7645
Practice Address - Country:US
Practice Address - Phone:602-448-9272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-30
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZATR-0093202255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer