Individual
JENNIFER WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMT, LMT, CPT
Contact information
Practice address
2975 MILL BAY RD, KODIAK, AK 99615-7831
(907) 512-0809
Mailing address
PO BOX 131884, THE WOODLANDS, TX 77393-1884
(832) 868-4941
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
137164
AK
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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