Individual
DR. NICOLE WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5775 NW 64TH TER STE 101, KANSAS CITY, MO 64151-3945
(816) 741-4525
Mailing address
8503 EASTERN AVE, KANSAS CITY, MO 64138-2823
(316) 518-5621
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1106447
KS
225100000X
Physical Therapist
2020031969
MO
Other
Enumeration date
09/18/2020
Last updated
09/25/2020
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