Doctor Name: | BRUCE PATRICK WEEDEN |
NPI Number: | 1285092924 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMT |
License Number: | 33.020675 |
Business Practice Address: | 193 E Whittier St Columbus, OH - 432062638 |
Business Phone Number: | 6144299893 |
Business Fax Number: | |
Mailing Address: | 1550 S 4th St, COLUMBUS |
State: | OH |
Postal Code: | 432071827 |
Phone Number: | 6144299893 |
Fax Number: | |
NPI Enumeration Date: | 02/09/2016 |
NPI Last Update Date: | 02/09/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 33.020675 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |