Individual
JAROD WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
22 NW 11TH ST, RICHMOND, IN 47374-2818
(937) 681-4406
Mailing address
22 NW 11TH ST, RICHMOND, IN 47374-2818
(937) 681-4406
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05012096A
IN
225100000X
Physical Therapist
Primary
PT016434
OH
Other
Enumeration date
11/28/2016
Last updated
02/20/2019
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