Samuel Watson Weaver, PTA

Physical Therapy Assistant · Kilgore, TX

Individual Active NPI

NPI number 1609469923

Practice location

618 Florey St
Kilgore, TX 75662-3502
Phone
(903) 240-6790

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NPI record

NPI
1609469923
Entity type
Individual (Type 1)
Enumeration date
February 17, 2021
Last updated
February 17, 2021
Certified
February 14, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physical Therapy Assistant Primary 225200000X 2096735 TX

About Samuel Weaver

Samuel Watson Weaver, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 618 Florey St, Kilgore, TX 75662-3502. The NPI number 1609469923 was assigned on February 17, 2021 and the record was last updated on February 17, 2021.

Samuel Weaver lists a license in the registry: #2096735 (TX) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Samuel Watson Weaver, PTA?

The NPI number is 1609469923.

What is the phone number of Samuel Weaver?

The phone number listed for the practice location is (903) 240-6790.

Where is Samuel Weaver located?

618 Florey St, Kilgore, TX 75662-3502.

What is the taxonomy code for Samuel Weaver?

The primary taxonomy code is 225200000X – Physical Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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