Provider Demographics
NPI:1174301667
Name:WESTFALL, MICHELLE NAKEE (MT-BC)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:NAKEE
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 MAHONE CT
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22551-8767
Mailing Address - Country:US
Mailing Address - Phone:770-891-6516
Mailing Address - Fax:
Practice Address - Street 1:203 MAHONE CT
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22551-8767
Practice Address - Country:US
Practice Address - Phone:770-891-6516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-18
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist