Individual
LAUREN WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
148 FOOTHILLS CENTER DR STE 148&150, WEST UNION, SC 29696-2518
(864) 638-6405
(864) 638-6421
Mailing address
148 FOOTHILLS CENTER DR STE 148&150, WEST UNION, SC 29696-2518
(864) 638-6405
(864) 638-6421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP053719T
SC
2251X0800X
Orthopedic Physical Therapist
011209
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP7913
MEDICARE GROUP NUMBER
GA
01
—
PT011209
LICENSE NUMBER
GA
Enumeration date
09/05/2013
Last updated
05/06/2026
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