Individual
JENNIFER REBECCA WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1500 E HIGHWAY 82 STE 27, GAINESVILLE, TX 76240-2825
(940) 443-1548
Mailing address
1000 BELLA VISTA DR APT 412, GAINESVILLE, TX 76240-2250
(940) 443-1548
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT132274
TX
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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