| Doctor Name: | JARED LINCOLN WEICHERS |
| NPI Number: | 1134135569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 9154 |
| Business Practice Address: | 393 E 2nd N Rexburg, ID - 834401605 |
| Business Phone Number: | 2083599570 |
| Business Fax Number: | 2083599580 |
| Mailing Address: | 393 E 2nd N, REXBURG |
| State: | ID |
| Postal Code: | 834401605 |
| Phone Number: | 2083599570 |
| Fax Number: | 2083599580 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 04/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 9154 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | AZ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |