Gretchen Weiser, P.T.

Individual provider Active NPI Physical Therapist · Georgetown, IN

NPI 1003945692 · NPPES record last updated Jul 9, 2007

Key facts

NPI
1003945692
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
05008559A (IN)
Practice address
8884 Lake Point Dr
Georgetown, IN 47122-9759
Phone
(812) 786-2205
Fax
(812) 951-3684
NPI assigned
Mar 2, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
05008559AINMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05008559A IN Yes

Addresses

Primary practice location

8884 Lake Point Dr
Georgetown, IN 47122-9759

Mailing address

8884 Lake Point Dr
Georgetown, IN 47122-9759
Phone (812) 786-2205

Other providers in Georgetown, IN

All providers in Georgetown, IN · Physical Therapist in Indiana

Sources for this page

Verify at the official NPI Registry.