Individual
JACLYN WEINLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
A03308
KY
225200000X
Physical Therapy Assistant
Primary
PTA009979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A03308
PTA LICENSE
KY
01
—
PTA009979
PTA LICENSE
OH
Enumeration date
10/17/2022
Last updated
10/17/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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