Provider Demographics
NPI:1588422745
Name:WEIR, TERRIE
Entity type:Individual
Prefix:
First Name:TERRIE
Middle Name:
Last Name:WEIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 N PORTAGE PATH APT 14A8
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44303-2526
Mailing Address - Country:US
Mailing Address - Phone:330-906-6043
Mailing Address - Fax:
Practice Address - Street 1:80 N PORTAGE PATH APT 14A8
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44303-2526
Practice Address - Country:US
Practice Address - Phone:330-906-6043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health