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Deadra Wiegel, PTA
NPI 1174789010 · on the registry since 2008 · sole proprietor
Practice
- Address
- 337 S Harrison St
Lebanon, KY 40033 - Phone
- (270) 465-7896
- Organisation at this address
- The Village Of Lebanon, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Community Health Worker
172V00000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-07-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky