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

Samuel Watson Weaver, PTA

Individual provider Physical Therapy Assistant · NPI 1609469923

Samuel Watson Weaver, PTA is a Physical Therapy Assistant in Kilgore, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

618 Florey St
Kilgore, TX 75662-3502
Phone: (903) 240-6790
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 2096735 (TX)

Record details

NPI number1609469923
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedFebruary 17, 2021
Last updated in NPPESFebruary 17, 2021
Certification dateFebruary 14, 2021
Mailing address618 Florey St, Kilgore, TX 75662-3502

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