| Doctor Name: | DUANE LLOYD WIEDING |
| NPI Number: | 1629292701 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | L.P.T. |
| License Number: | 1046381 |
| Business Practice Address: | 14306 Ranch Road 12 Y Center Wimberley, TX - 786766200 |
| Business Phone Number: | 5128479057 |
| Business Fax Number: | 5128478602 |
| Mailing Address: | 915 Highway 80, SAN MARCOS |
| State: | TX |
| Postal Code: | 786668115 |
| Phone Number: | 5128479057 |
| Fax Number: | 5128478602 |
| NPI Enumeration Date: | 04/12/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1046381 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |