Individual
JAMES THOMAS WEAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
6400 CRESTWOOD STA, CRESTWOOD, KY 40014-7423
(502) 633-1007
Mailing address
90 HOWARD DR, SHELBYVILLE, KY 40065-8138
(502) 633-1007
(502) 437-0624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
165602
KY
Other
Enumeration date
09/14/2016
Last updated
01/05/2024
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