Whalio Doctors

NPI 1083990667

Elizabeth Anne Weathers, PTA

Practitioner Community Health Worker Sullivan, IN

Practice location

Address
102 N County Road 800 E, Sullivan, IN 47882-7402
Phone
(812) 648-2455

Registered specialties

Community Health Worker Primary
Other Service Providers Taxonomy 172V00000X Licence 06003865A (IN)

Registry record

NPI
1083990667
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Oct 2011
Record last updated
27 Oct 2011

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.