Individual
BRANDON TYLER WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
48 DRY RUN RD, WEST PORTSMOUTH, OH 45663-8987
(740) 935-0871
Mailing address
48 DRY RUN RD, WEST PORTSMOUTH, OH 45663-8987
(740) 935-0871
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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