Individual
KRISTY A WEEMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
310 SHIRLEY AVE, DOUGLAS, GA 31533-2332
(912) 260-3650
(912) 383-7361
Mailing address
312 WESTSIDE DR, DOUGLAS, GA 31533-3530
(912) 384-2200
(912) 383-7992
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006086
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006086
PHYSICAL THERAPIST STATE
GA
Enumeration date
06/21/2007
Last updated
09/15/2020
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