Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES WADE WEAVER, ATC, AT, LAT
Active Sole ProprietorCHARLES WADE WEAVER, ATC, AT, LAT is a Athletic Trainer healthcare provider located in MIDDLEVILLE, Michigan. NPI 1316453384 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · MIDDLEVILLE, MI
Registration Details
- NPI Number
- 1316453384
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 28, 2017 (8.6044429061405 yrs)
- Last Updated
- Dec 28, 2017
- License
-
2000008006
- Sole Proprietor
- Yes
Practice Information
- Address
-
11399 DAVIS RDMIDDLEVILLE, MI, 493338652Browse MI providers · Browse ZIP 49333
- Phone
- 9364436289
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in MIDDLEVILLE, MI
| Name | Credential | NPI |
|---|---|---|
| TAYLOR CARTER | — | 1588102016 |
| ASHLEY ASPINALL | AT, ATC | 1063953040 |
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.