MEDICARE: WILLIAM THOMAS WEAVER ATC

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1194793364
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM THOMAS WEAVER ATC

Provider Business Mailing Address
First Line	:	200 W ESSEX DR
Second Line	:
City	:	SAINT LOUIS
State	:	MI
Zip	:	48880-9524
Country	:	US
Telephone Number	:	989-681-2655
Fax Number	:

Provider Business Practice Location Address
First Line	:	CENTRAL MICHIGAN UNIVERSITY
Second Line	:	CHIP FACILITY
City	:	MT PLEASANT
State	:	MI
Zip	:	48859-0001
Country	:	US
Telephone Number	:	989-774-1663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/14/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1518939586 — DR. RENE REVIS SHINGLES PH.D., ATC
Practice Location Address:

HEALTH PROFESSIONS BUILDING 1171 , CENTRAL MICHIGAN UNIVERSITY
MT PLEASANT, MI
48859-0001

Practice Phone: 989-774-2378
Practice Fax:

1679533319 — DR. PETER V LOUBERT PT, PHD
Practice Location Address:

HEALTH PROFESSIONS BUILDING , CENTRAL MICHIGAN UNIVERSITY
MT PLEASANT, MI
48859-0001

Practice Phone: 989-774-2396
Practice Fax: 989-774-2433

1023075215 — MR. ALLAN R RIGGS M.S., P.A.-C
Practice Location Address:

600 EAST PRESTON , CMU HEALTH SERVICES, FOUST HALL 108
MT PLEASANT, MI
48859-0001

Practice Phone: 989-774-1748
Practice Fax: 989-774-4335

1487612685 — DR. PENALOPE D. COOK D.O.
Practice Location Address:

600 E. PRESTON , CMU HEALTH SERVICES, FOUST HALL 108
MT PLEASANT, MI
48859-0001

Practice Phone: 989-774-1748
Practice Fax: 989-774-4335

1437199064 — CARRIE ANNE MCGILLIS ATC
Practice Location Address:

1167 HEALTH PROFESSIONS BUILDING
MT PLEASANT, MI
48859-0001

Practice Phone: 989-774-1341
Practice Fax:

1982640504 — STUDENT HEALTH SERVICES PHCY
Practice Location Address:

CENTRAL MICHIGAN UNIVERSITY , FOUST HALL 106
MT PLEASANT, MI
48859-0001

Practice Phone: 989-774-6590
Practice Fax: 989-744-6665

Directions to “ WILLIAM THOMAS WEAVER ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.