Provider Demographics
NPI:1699323212
Name:WEILER, JOZIE FARYN (PT, DPT)
Entity type:Individual
Prefix:
First Name:JOZIE
Middle Name:FARYN
Last Name:WEILER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 E TINKHAM AVE
Mailing Address - Street 2:
Mailing Address - City:LUDINGTON
Mailing Address - State:MI
Mailing Address - Zip Code:49431-1536
Mailing Address - Country:US
Mailing Address - Phone:231-843-2676
Mailing Address - Fax:231-843-2209
Practice Address - Street 1:901 E TINKHAM AVE
Practice Address - Street 2:
Practice Address - City:LUDINGTON
Practice Address - State:MI
Practice Address - Zip Code:49431-1536
Practice Address - Country:US
Practice Address - Phone:231-843-2676
Practice Address - Fax:231-843-2209
Is Sole Proprietor?:No
Enumeration Date:2019-08-27
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501019306225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist