Individual
ERIK WEINGARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
124 JEFFERSON PARK DR, HUNTINGTON, WV 25705-2613
(304) 730-2354
Mailing address
124 JEFFERSON PARK DR, HUNTINGTON, WV 25705-2613
(304) 730-2354
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2013-3076
WV
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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