Provider Demographics
NPI:1861890782
Name:WEIR, NATALIE KRISTINE (DPT)
Entity type:Individual
Prefix:MS
First Name:NATALIE
Middle Name:KRISTINE
Last Name:WEIR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2170 IRONWOOD CENTER DR.
Mailing Address - Street 2:
Mailing Address - City:COEUR D 'ALENE
Mailing Address - State:ID
Mailing Address - Zip Code:83814
Mailing Address - Country:US
Mailing Address - Phone:208-667-1988
Mailing Address - Fax:208-765-5654
Practice Address - Street 1:12615 E. MISSION AVE
Practice Address - Street 2:STE 109
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99216
Practice Address - Country:US
Practice Address - Phone:509-891-2623
Practice Address - Fax:509-891-2624
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60507600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist