Individual
LISA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
2083 LAKELYN CT, CRESCENT SPRINGS, KY 41017-4473
(859) 803-8890
(859) 813-2574
Mailing address
40 UTZ DR, FLORENCE, KY 41042-1539
(859) 912-1081
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
001647
KY
Other
Enumeration date
03/27/2008
Last updated
08/19/2019
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