Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEADRA JEANNA WIEGEL, PTA
Active Sole ProprietorMRS. DEADRA JEANNA WIEGEL, PTA is a Community Health Worker healthcare provider located in LEBANON, Kentucky. NPI 1174789010 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · LEBANON, KY
Registration Details
- NPI Number
- 1174789010
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 30, 2008 (18.033354677104 yrs)
- Last Updated
- Jul 30, 2008
- License
-
A001748 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
337 S HARRISON STLEBANON, KY, 400331150Browse KY providers · Browse ZIP 40033
- Phone
- 2704657896
- Primary Specialty
-
Community Health Worker
172V00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.