Katie Lee Weaver, LMT

NPI #1255927067 in Post Falls, Idaho

Provider Information

NPI Number: 1255927067
Entity Type: Individual
Name: Katie Lee Weaver, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 15, 2020
Last Updated: Dec 16, 2020

Practice Location

Address: 1624 E SELTICE WAY
City: Post Falls
State: Idaho
ZIP Code: 83854-7022
Phone: (208) 777-0128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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