Individual
STACY R WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MAPT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
082165
IA
225100000X
Physical Therapist
7552
MN
225100000X
Physical Therapist
Primary
82165
IA
Other
Enumeration date
03/13/2008
Last updated
08/04/2025
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