Provider Demographics
NPI:1558469908
Name:WEISS, LOUIS RICHARD (LPT)
Entity Type:Individual
Prefix:MR
First Name:LOUIS
Middle Name:RICHARD
Last Name:WEISS
Suffix:
Gender:M
Credentials:LPT
Other - Prefix:MR
Other - First Name:ARYEH
Other - Middle Name:REUVAIN
Other - Last Name:WEISS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPT
Mailing Address - Street 1:3811 BENDEMEER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-1920
Mailing Address - Country:US
Mailing Address - Phone:216-321-2965
Mailing Address - Fax:216-321-2965
Practice Address - Street 1:5273 BROADVIEW RD
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-1626
Practice Address - Country:US
Practice Address - Phone:216-749-6650
Practice Address - Fax:216-749-1655
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3994225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist