Doctor Name: | JASON DUANE WEAVER |
NPI Number: | 1790068757 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PTH6267 |
Business Practice Address: | 1824 Glynwood Drive Prattville, AL - 36066 |
Business Phone Number: | 3343614711 |
Business Fax Number: | 3343618219 |
Mailing Address: | 125 County Road 70, THORSBY |
State: | AL |
Postal Code: | 35171 |
Phone Number: | 2056884472 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2011 |
NPI Last Update Date: | 09/26/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PTH6267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
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 |