NPI 1164709762

Kristen Frances Weaver, PTA

Practitioner Physical Therapy Assistant Fairmont, WV

Practice location

Address: 130 Kaufman Dr, Fairmont, WV 26554-2179
Phone: (304) 363-4891
Mailing address: Rr 3 Box 377, Grafton, WV 26354-9566

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1433 (WV)

Other Physical Therapy Assistant providers in West Virginia →

Registry record

NPI: 1164709762
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Nov 2011
Record last updated: 10 Nov 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.