IndividualActive
Deadra Wiegel, PTA
NPI 1174789010 · Community Health Worker · Lebanon, KY
Provider details
- NPI number
- 1174789010
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- A001748 (KY)
Specialties & taxonomies
Other Service Providers
Practice location
337 S Harrison St
Lebanon, KY 40033-1150
Phone: (270) 465-7896
Approximate (ZIP-level) locationGet directions
Mailing address
337 S Harrison St
Lebanon, KY 40033-1150
Registry dates
- Enumerated
- 2008-07-30
- Last updated
- 2008-07-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.