Individual
MR. MATTHEW WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
51 S. STANFIELD RD., TROY, OH 45373-2992
(937) 335-2722
(937) 339-6775
Mailing address
3683 GARDEN COURT, GROVE CITY, OH 43123-2906
(614) 305-5071
(614) 801-0090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.013673
OH
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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