IndividualActive
John Weaver
NPI 1194279240 · Physical Therapy Assistant · Edwards, IL
Provider details
- NPI number
- 1194279240
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 160007581 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
6823 N Iron Wood Dr
Edwards, IL 61528-9420
Phone: (309) 645-2062
Approximate (ZIP-level) locationGet directions
Mailing address
6823 N Iron Wood Dr
Edwards, IL 61528-9420
Registry dates
- Enumerated
- 2016-08-06
- Last updated
- 2016-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.