Individual
ANNA ELIZABETH WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
LMT-24437
AZ
225700000X
Massage Therapist
MA60820911
WA
225700000X
Massage Therapist
Primary
MT-24043
OR
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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