Provider Demographics
NPI:1306345020
Name:WEEKS, JENNIFER GEORGETTE (DPT)
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:GEORGETTE
Last Name:WEEKS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:714 S. MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27292-2835
Mailing Address - Country:US
Mailing Address - Phone:336-243-2702
Mailing Address - Fax:336-243-4014
Practice Address - Street 1:714 SOUTH MAIN STREET
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:NC
Practice Address - Zip Code:27292-2835
Practice Address - Country:US
Practice Address - Phone:336-243-2702
Practice Address - Fax:336-243-4014
Is Sole Proprietor?:No
Enumeration Date:2018-02-08
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17750225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist