Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISTY WEASE
Active Sole ProprietorMISTY WEASE is a Substance Abuse Rehabilitation Facility healthcare provider located in MAGNOLIA, Kentucky. NPI 1508607169 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MAGNOLIA, KY
Registration Details
- NPI Number
- 1508607169
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 5, 2024 (2.1950297814275 yrs)
- Last Updated
- Jun 5, 2024
- Sole Proprietor
- Yes
Practice Information
- Address
-
2396 FRIENDSHIP CHURCH RDMAGNOLIA, KY, 427577613Browse KY providers · Browse ZIP 42757
- Phone
- 2702182652
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
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.