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Contact Information

KRISTEN M WEAVER, M.S., P.T.
1445 GALAXY DR NE
LACEY, WA98516
 Phone: 360-456-1444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KRISTEN M WEAVER · (Female)

NPI # 1386895894
Status Active
Credentials M.S., P.T.
Entity Individual
Enumeration date 10/02/2008
Last updated 07/27/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5501011977
  • WA License # PT60041800
  • WA Medicaid 1386895894
  • WA Medicaid 2002864
  • MI Other 5501011977 MICHIGAN STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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