Individual
MR. THEODORE J WEBER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
3520 SOUTHRIDGE BLVD, KENNEWICK, WA 99338
(509) 222-7200
Mailing address
3115 S DENNIS ST, KENNEWICK, WA 99337-3057
(509) 582-7755
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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