Individual
JOHN DANIEL WEIRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
551 KOKOPELLI BLVD UNIT E, FRUITA, CO 81521-6305
(970) 858-2147
(970) 858-4569
Mailing address
PO BOX 130, FRUITA, CO 81521-0130
(970) 858-2147
(970) 858-4569
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0006015
CO
Other
Enumeration date
04/12/2007
Last updated
10/29/2019
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