Individual
MR. TIMOTHY DAVID WEESNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1800 S 4TH ST, AMES, IA 50011-1142
(515) 294-4598
(515) 294-6554
Mailing address
5129 NE LEDGESTONE CT, ANKENY, IA 50021-6835
(515) 294-4598
(515) 294-6554
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00427
IA
Other
Enumeration date
06/10/2006
Last updated
04/13/2017
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