Individual
MICHELLE LYNN WEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1820 ILLINOIS ST, SIDNEY, NE 69162-1425
(308) 225-1870
(888) 908-5481
Mailing address
PO BOX 31, SIDNEY, NE 69162-0031
(308) 225-1870
(888) 908-5481
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1850
NE
2251P0200X
Pediatric Physical Therapist
1850
NE
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025780200
—
NE
05
—
10026468501
—
NE
Enumeration date
06/26/2008
Last updated
03/17/2018
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