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NPI Code Detail

MEDICARE: SARAH WEEKES

MEDICARE:   SARAH  WEEKES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior TechnicianRBT-19-86287KY

General Provider Information

NPI Number : 1174189633
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH WEEKES
Provider Business Mailing Address
First Line : 1321 MURFREESBORO PIKE STE 702
Second Line :
City : NASHVILLE
State : TN
Zip : 37217-2679
Country : US
Telephone Number : 615-695-2277
Fax Number :
Provider Business Practice Location Address
First Line : 3551 PARK PLAZA RD
Second Line :
City : PADUCAH
State : KY
Zip : 42001-5948
Country : US
Telephone Number : 270-702-4641
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2019
Last Update Date : 05/10/2019

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Directions to “ SARAH WEEKES ” Practice Location

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