Individual
CASSIE LYNN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
508 UPLAND ST, KENAI, AK 99611-8026
(907) 335-7500
Mailing address
413 MARLOWE CIR, MORGANTOWN, WV 26505-1138
(304) 690-5126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1754187
—
AK
Enumeration date
06/02/2021
Last updated
04/01/2025
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