Individual
BRIAN JOSEPH WEEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, PT, TPI
Contact information
Practice address
420 OHIO ST, BELLINGHAM, WA 98225-4637
(360) 714-0870
(360) 714-0872
Mailing address
420 OHIO ST, BELLINGHAM, WA 98225-4637
(360) 714-0870
(360) 714-0872
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
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