Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Deadra Jeanna Wiegel, PTA

Individual provider Community Health Worker · NPI 1174789010

Mrs. Deadra Jeanna Wiegel, PTA is a Community Health Worker in Lebanon, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.

Licensed in
KY
In the registry since
2008
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

337 S Harrison St
Lebanon, KY 40033-1150
Phone: (270) 465-7896
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence A001748 (KY)

Record details

NPI number1174789010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedJuly 30, 2008
Last updated in NPPESJuly 30, 2008