Individual
EMILY WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5623 PULPIT PEAK VW, COLORADO SPRINGS, CO 80918-3954
(316) 644-3071
Mailing address
7331 GLENBURN DR, FOUNTAIN, CO 80817-4087
(316) 644-0371
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.0002253
CO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/18/2016
Last updated
02/23/2022
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