Individual
PAMELA JEAN WESTENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
605 E J ST STE 200, FOREST CITY, IA 50436-1664
(641) 585-1550
Mailing address
1605 W 7TH AVE N, CLEAR LAKE, IA 50428-1265
(319) 238-2091
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
073758
IA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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