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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARK ALEXANDER WEAVER, MAED, ATC, LAT

Active

MARK ALEXANDER WEAVER, MAED, ATC, LAT is a Athletic Trainer healthcare provider located in MC KENZIE, Tennessee. NPI 1194005090 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · MC KENZIE, TN

Registration Details

NPI Number
1194005090
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2011 (14.83150665411 yrs)
Last Updated
Aug 23, 2011
License
476 (TN)

Practice Information

Address
325 CHERRY AVE
MC KENZIE, TN, 382011769
Browse TN providers · Browse ZIP 38201
Phone
7313524000
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in MC KENZIE, TN

Name Credential NPI
MR. KENNETH T BUTLER LAT, ATC 1396733044
MR. WILLIAM JASON ESSARY ATC 1336358886
MALLORY AKIN ATC,LAT 1477854800
BRITTANY BURKETT 1417225483
LAURA ALESSANDRA HORNER ATC, LAT 1124544663
MR. DAVID MATTHEW HOLSINGER ATC,LAT 1629596879
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.