Mark Alexander Weaver, MAED, ATC, LAT

NPI #1194005090 in Mc Kenzie, Tennessee

Provider Information

NPI Number
1194005090
Entity Type
Individual
Name
Mark Alexander Weaver, MAED, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
MAED, ATC, LAT
Enumeration Date
Aug 23, 2011
Last Updated
Aug 23, 2011

Practice Location

Address
325 CHERRY AVE
ZIP Code
38201-1769
Phone
(731) 352-4000

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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