| Organization Name: | WESTLAKE SPORTS THERAPY |
| NPI Number: | 1023153236 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA REINERT (THERAPIST EMPLOYEE) |
| Mailing Address: | 4165 E Thousand Oaks Blvd Ste 150 Westlake Village |
| State: | CA US |
| Postal Code: | 913623837 |
| Phone Number: | 8053719116 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251S0007X |
| License Number: | PT27820 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Sports |
| Taxonomy Definition: | |