Individual
ELIZABETH A WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1922 N ONEIDA ST, APPLETON, WI 54911-2918
(920) 784-8522
Mailing address
1922 N ONEIDA ST, APPLETON, WI 54911-2918
(920) 784-8522
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
WI
Other
Enumeration date
07/28/2023
Last updated
11/08/2023
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