Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225700000X | Massage Therapist | ||
N | 226300000X | Kinesiotherapist |
NPI | 1831127034 |
---|---|
Provider Name | Ms. Heather Joanne Weiland |
First Address | Butler, PA 16002-1038 |
Second Address | Butler, PA 16001-2464 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2006 |
Last Update Date | 08/07/2007 |