| NPI | 1366785784 |
|---|---|
| Former Name | KRISTIN LEE WEIMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: MO 2013001404) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2094950) |
| 225200000X Physical Therapy Assistant (Licence: KS 14-02490) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2023-11-16 |