Individual
JODI LYNN WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5501004983
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5501004983
BOARD OF PHYSICAL THERAPY
MI
Enumeration date
04/24/2018
Last updated
01/30/2025
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