Whalio Doctors

NPI 1003522079

Augustus Joseph Woestman, PTDPT

Practitioner Physical Therapist Ellisville, MS

Practice location

Address
4 Douglas Rd, Ellisville, MS 39437-4805
Phone
(619) 733-4593

Registered specialties (2)

Physical Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence PT7054 (MS)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 299456 (CA)

Registry record

NPI
1003522079
Entity type
Individual
Sex (as registered)
Male
NPI issued
24 Jan 2023
Record last updated
24 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.