Individual
KELLY MICHELLE WEIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC, PES, CSCS
Contact information
Practice address
39450 W 12 MILE RD, NOVI, MI 48377-3600
(248) 344-2300
(248) 344-2301
Mailing address
1418 SUNSET DR, WOLVERINE LAKE, MI 48390-2348
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000294
MI
Other
Enumeration date
01/13/2011
Last updated
03/23/2021
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