IndividualActive
Amanda Weidner, PT
NPI 1669973319 · Physical Therapist · Saint Clair Shores, MI
Provider details
- NPI number
- 1669973319
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5501012049 (MI)
Practice location
23715 Little Mack Ave Ste 200
Saint Clair Shores, MI 48080-1181
Phone: (586) 447-4064
Fax: (586) 447-4069
Mailing address
53581 Deerfield Ln
New Baltimore, MI 48047-6395
Registry dates
- Enumerated
- 2018-02-27
- Last updated
- 2018-02-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.