Individual
SHANNON DIMETRA WEIKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4577 CRYSTAL BALL DR, HILLIARD, OH 43026-2803
(937) 360-9643
Mailing address
4577 CRYSTAL BALL DR, HILLIARD, OH 43026-2803
(937) 360-9643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33019127
OH
Other
Enumeration date
10/06/2020
Last updated
10/06/2020
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