Individual
BRIAN JOSEPH WEEDA
Active
Individual
BRIAN JOSEPH WEEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT, TPI
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006136
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102764
LABOR & INDUSTRY
WA
01
—
15938
REGENCE
WA
01
—
5017495
AETNA
—
01
—
650020464
RAILROAD MEDICARE
—
05
—
8327652
—
WA
01
—
A003
TRICARE
—
Enumeration date
01/04/2007
Last updated
03/09/2023
Update your record
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