Provider Demographics
NPI:1073058160
Name:WESTON, TIMOTHY (ATC)
Entity Type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:
Last Name:WESTON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4460 MAYFLOWER HL
Mailing Address - Street 2:COLBY COLLEGE HEALTH SERVICES
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-8844
Mailing Address - Country:US
Mailing Address - Phone:207-649-6967
Mailing Address - Fax:207-859-4971
Practice Address - Street 1:4460 MAYFLOWER HL
Practice Address - Street 2:COLBY COLLEGE HEALTH SERVICES
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-8844
Practice Address - Country:US
Practice Address - Phone:207-649-6967
Practice Address - Fax:207-859-4971
Is Sole Proprietor?:No
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer