Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAEGAN WIEDER
ActiveRAEGAN WIEDER is a Physical Therapy Assistant healthcare provider located in LAWRENCEVILLE, Georgia. NPI 1710795042 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LAWRENCEVILLE, GA
Registration Details
- NPI Number
- 1710795042
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 19, 2024 (1.6674831115023 yrs)
- Last Updated
- May 21, 2025
- License
-
PT017530 (GA)
Practice Information
- Address
-
860 DULUTH HWY STE 140LAWRENCEVILLE, GA, 300435336Browse GA providers · Browse ZIP 30043
- Phone
- 4704101444
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LAWRENCEVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. CAROLE L CUNNINGHAM | PT | 1881635373 |
| ERIC STEVEN ERHARDT | PT | 1730117185 |
| MATTHEW J WINTERS | DPT | 1124053194 |
| MALYNDA ANN CARRUTH | PT, DPT | 1366559304 |
| TAMMY IVIE | PT | 1548378672 |
| NISHITH OZA | PT | 1063511749 |
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.