| Doctor Name: | JAMIE WEISHAAR |
| NPI Number: | 1871632646 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MPT |
| License Number: | PT28099 |
| Business Practice Address: | 745 S Progress Ave Meridian, ID - 836425619 |
| Business Phone Number: | 2088950309 |
| Business Fax Number: | 2088950311 |
| Mailing Address: | 745 S Progress Ave, MERIDIAN |
| State: | ID |
| Postal Code: | 836425619 |
| Phone Number: | 2088950309 |
| Fax Number: | 2088950311 |
| NPI Enumeration Date: | 02/06/2007 |
| NPI Last Update Date: | 10/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT28099 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |