Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 1091213 | TX |
N | 2251C2600X | Cardiopulmonary | 1091213 | TX |
N | 2251E1200X | Ergonomics | 1091213 | TX |
N | 225XE1200X | Ergonomics | 1091213 | TX |
N | 2251E1300X | Electrophysiology, Clinical | 1091213 | TX |
N | 2251G0304X | Physical Therapist - Geriatrics | 1091213 | TX |
N | 2251H1200X | Hand | 1091213 | TX |
N | 2251H1300X | Human Factors | 1091213 | TX |
N | 225XH1300X | Human Factors | 1091213 | TX |
N | 2251N0400X | Physical Therapist - Neurology | 1091213 | TX |
N | 2251S0007X | Physical Therapist - Sports | 1091213 | TX |
N | 2251X0800X | Physical Therapist - Orthopedic | 1091213 | TX |
NPI | 1265994487 |
---|---|
Provider Name | Mr. John R Weeks |
First Address | Lufkin, TX 75904-5482 |
Second Address | Lufkin, TX 75904-5482 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2019 |
Last Update Date | 05/04/2019 |