Individual
KRISTINA MAE WEIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3501 DAKOTA AVE, SOUTH SIOUX CITY, NE 68776-3641
(402) 494-3440
(402) 494-3441
Mailing address
631 ASCOT ST, SIOUX CITY, IA 51103-3191
(712) 560-6447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
989
NE
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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