Individual
STACIE WIECHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20982 W 116TH TER, OLATHE, KS 66061-5679
(816) 520-0431
Mailing address
20982 W 116TH TER, OLATHE, KS 66061-5679
(816) 520-0431
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11-01900
KS
Other
Enumeration date
01/29/2019
Last updated
01/29/2019
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