Jennifer Weaver, MMT, LMT, CPT

NPI #1649746298 in Kodiak, Alaska

Provider Information

NPI Number: 1649746298
Entity Type: Individual
Name: Jennifer Weaver, MMT, LMT, CPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: MMT, LMT, CPT
Enumeration Date: Oct 22, 2018
Last Updated: Oct 22, 2018

Practice Location

Address: 2975 MILL BAY RD
City: Kodiak
State: Alaska
ZIP Code: 99615-7831
Phone: (907) 512-0809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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