Individual
MELISSA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12555 S GARY AVE, JENKS, OK 74037-4936
(918) 527-2994
(918) 527-2994
Mailing address
12555 S GARY AVE, JENKS, OK 74037-4936
(918) 527-2994
(918) 527-2994
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
3058
OK
Other
Enumeration date
10/14/2025
Last updated
10/14/2025
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