Pamela Jean Westendorf, MS, ATC, LAT
Individual provider Active NPI Athletic Trainer · Forest City, IA
NPI 1992211148 · NPPES record last updated Dec 26, 2017
Key facts
- NPI
- 1992211148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 073758 (IA)
- Practice address
- 605 E J St Ste 200
Forest City, IA 50436-1664 - Phone
- (641) 585-1550
- NPI assigned
- Dec 26, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 073758 | IA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 073758 | IA | Yes |
Addresses
Primary practice location
605 E J St Ste 200
Forest City, IA 50436-1664
Mailing address
1605 W 7TH Ave N
Clear Lake, IA 50428-1265
Phone (319) 238-2091
Other names
- Pamela Jean Westendorf
Other providers in Forest City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.