IndividualActive
Elizabeth Weathers, PTA
NPI 1083990667 · Community Health Worker · Sullivan, IN
Provider details
- NPI number
- 1083990667
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 06003865A (IN)
Practice location
102 N County Road 800 E
Sullivan, IN 47882-7402
Phone: (812) 648-2455
Mailing address
102 N County Road 800 E
Sullivan, IN 47882-7402
Registry dates
- Enumerated
- 2011-10-27
- Last updated
- 2011-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.