JENNIFER WEAVER (NPI# 1649746298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649746298 |
| Entity Type | Individual |
| Full Name | JENNIFER WEAVER |
| Credential | MMT, LMT, CPT |
| Practice Address |
2975 Mill Bay Rd Kodiak AK 99615-7831 |
| Mailing Address |
Po Box 131884 The Woodlands TX 77393-1884 |
| Practice Telephone | 9075120809 |
| Mailing Telephone | 8328684941 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 137164 | AK | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275164857 | Jennifer A Weaver | Occupational Therapist | 248 Guerrero St Apt 102, San Francisco, CA 94103-2378 | 2020-01-31 |
| 1336701572 | Jennifer Rebecca Weaver | Massage Therapist | 1500 E Highway 82 Ste 27, Gainesville, TX 76240-2825 | 2019-07-08 |
| 1356628606 | Jennifer Michelle Weaver | Speech-Language Pathologist | 2607 W 11th St, Rear, Cleveland, OH 44113-4404 | 2011-11-14 |
| 1659667137 | Jennifer Suzanne Weaver | Licensed Practical Nurse | 97 West School Ave, Mcconnelsville, OH 43756 | 2011-06-23 |
| 1275777229 | Jennifer L Weaver | Social Worker | 1726 Sw 3 Ave, Fort Lauderdale, FL 33316-2514 | 2009-04-21 |
| 1740313360 | Jennifer Regan Weaver | Physical Therapist | 57 San Lucas Ct, Odessa, TX 79765-8534 | 2007-03-13 |
| 1518972884 | Jennifer S Weaver | Radiology | Msc 10 5530, 1university of New Mexico, Albuquerque, NM 87131-0001 | 2006-07-29 |
| 1336185172 | Jennifer Lee Weaver | Optometrist | 1150 Polaris Pkwy, Columbus, OH 43240-2024 | 2006-06-21 |
| 1962022194 | Jennifer Ann Weaver | Counselor | 9845 W Roosevelt Rd, Westchester, IL 60154-2758 | 2020-04-17 |
| 1346722907 | Jennifer Weaver | Social Worker | 8559 S Mason Montgomery Rd, Mason, OH 45040-9381 | 2018-08-30 |
| Street Address |
2975 MILL BAY RD |
| City | KODIAK |
| State | AK |
| Zip Code | 99615-7831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144864232 | Linda Irene Dunlap | Spec/Tech, Pathology | 1915 E. Remanof Drive, Kodiak, AK 99615 | 2019-10-31 |
| 1639638190 | Stephanie Brenteson | Community Health Worker | 125 Airport Way, Akhiok, AK 99615 | 2019-03-14 |
| 1609351022 | Desiree Alexis Wheeler | Optometrist | 3450 E Rezanof Dr, Kodiak, AK 99615 | 2018-10-02 |
| 1417479072 | Elaine Loomis Olsen | Case Manager/Care Coordinator | 1111 Purtov St., Kodiak, AK 99615 | 2017-07-14 |
| 1750828414 | Mary Jean Francisco | Case Manager/Care Coordinator | 717 East Rezanof Drive, Kodiak, AK 99615 | 2017-01-19 |
| 1558818112 | Carolyn Hawes | Case Manager/Care Coordinator | 717 Rezanof Dr, Kodiak, AK 99615 | 2016-09-01 |
| 1285083683 | Amanda Wilson | Community Health Worker | 124 Akhiok Street, Akhiok, AK 99615 | 2016-06-07 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1376891069 | Krystyna Mcrobert | Technician, Other | Cape Sarichef Road Bldg N46, Rockmore King Clinic, Kodiak, AK 99615 | 2012-08-28 |
| 1164778619 | Mark Anthony Johnson | Pharmacist | 3449 Rezanof Drive, Kodiak, AK 99615 | 2012-08-01 |
| Find all providers in zip 99615 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518516038 | Lisa Joanne Golightly | Massage Therapist | 2414 Mill Bay Rd, Kodiak, AK 99615-6654 | 2019-09-06 |
| 1962916205 | Caroline Mueller Goodman | Massage Therapist | 326 Center Ave Ste 100, Kodiak, AK 99615-7302 | 2017-11-22 |
| 1427599638 | Ron Gibbs | Massage Therapist | 1515b Mill Bay Rd, Kodiak, AK 99615-6233 | 2017-03-20 |
| 1447612056 | Kailee Champion | Massage Therapist | 3449 Rezanof Drive East, Kodiak, AK 99615 | 2016-03-23 |
| 1306124235 | Blanca Claypool | Massage Therapist | 2027 Hilary Lane, Kodiak, AK 99615-6377 | 2011-07-26 |
| 1992933501 | Siene Nicole Allen | Massage Therapist | 326 Center Ave Ste 201, Kodiak, AK 99615-7303 | 2009-06-23 |
| 1194364943 | Summer Walters | Massage Therapist | 326 Center Ave Ste 100, Kodiak, AK 99615-7302 | 2019-12-26 |
| 1659831519 | Rachel Eve Stoltenberg | Massage Therapist | 326 Center Ave Ste 100, Kodiak, AK 99615-7302 | 2019-03-25 |
| 1053801233 | Michelle Marie Steiner | Massage Therapist | 2975 Mill Bay Rd Ste A, Kodiak, AK 99615-7831 | 2018-05-14 |
| 1659884419 | Alicia Torres | Massage Therapist | 3449 E Rezanof Dr, Kodiak, AK 99615-6952 | 2017-11-14 |
| Find all providers in KODIAK | ||||
Please comment or provide details below to improve the information on JENNIFER WEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.