Provider Demographics
NPI:1477858686
Name:WEIBLE, KIRSTIN JOY (PT)
Entity Type:Individual
Prefix:
First Name:KIRSTIN
Middle Name:JOY
Last Name:WEIBLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10550 N LA CANADA DR
Mailing Address - Street 2:SUITE 160
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85737-7130
Mailing Address - Country:US
Mailing Address - Phone:520-547-2476
Mailing Address - Fax:520-547-2480
Practice Address - Street 1:10550 N LA CANADA DR
Practice Address - Street 2:SUITE 160
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85737-7130
Practice Address - Country:US
Practice Address - Phone:520-547-2476
Practice Address - Fax:520-547-2480
Is Sole Proprietor?:No
Enumeration Date:2011-01-19
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12934225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist