Provider Demographics
NPI:1710504477
Name:WEAVER, SUMMER (DC)
Entity Type:Individual
Prefix:DR
First Name:SUMMER
Middle Name:
Last Name:WEAVER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:SUMMER
Other - Middle Name:
Other - Last Name:REED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:8345 RENNER BLVD APT 3416
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-3068
Mailing Address - Country:US
Mailing Address - Phone:816-808-2539
Mailing Address - Fax:
Practice Address - Street 1:338 SW MAIN ST
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2340
Practice Address - Country:US
Practice Address - Phone:816-600-5483
Practice Address - Fax:816-524-5328
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2023-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020013203111N00000X
KS01-06112111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor