Individual
SARAH WEAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
(815) 307-2864
Mailing address
1025 E 7TH ST, BLOOMINGTON, IN 47405-7109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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