Provider Demographics
NPI:1588956841
Name:WESTERGARD, WILLIAM G (MAOTR)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:G
Last Name:WESTERGARD
Suffix:
Gender:M
Credentials:MAOTR
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:29571 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-7460
Mailing Address - Country:US
Mailing Address - Phone:720-261-1205
Mailing Address - Fax:303-320-3533
Practice Address - Street 1:333 S EATON ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3544
Practice Address - Country:US
Practice Address - Phone:303-935-1448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology