Provider Demographics
NPI:1336165489
Name:WEILAND, HANNAH M (MPT)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:M
Last Name:WEILAND
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1405 N 205TH ST
Mailing Address - Street 2:SUITE 140
Mailing Address - City:ELKHORN
Mailing Address - State:NE
Mailing Address - Zip Code:68022-4740
Mailing Address - Country:US
Mailing Address - Phone:402-289-5013
Mailing Address - Fax:402-289-5018
Practice Address - Street 1:1405 N 205TH ST
Practice Address - Street 2:SUITE 140
Practice Address - City:ELKHORN
Practice Address - State:NE
Practice Address - Zip Code:68022-4740
Practice Address - Country:US
Practice Address - Phone:402-289-5013
Practice Address - Fax:402-289-5018
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2014-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3303225100000X
MO2005026629225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist