Blaine Joseph Wieland, PT

NPI #1376341594 in Brentwood, Missouri

Provider Information

NPI Number: 1376341594
Entity Type: Individual
Name: Blaine Joseph Wieland, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Mar 4, 2025
Last Updated: Mar 4, 2025

Practice Location

Address: 1335 STRASSNER DR
City: Brentwood
State: Missouri
ZIP Code: 63144-1872
Phone: (423) 946-0934

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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