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Mark Weaver, MAED, ATC, LAT
NPI 1194005090 · on the registry since 2011
Practice
- Address
- 325 Cherry Ave
Mc Kenzie, TN 38201 - Phone
- (731) 352-4000
- Organisation at this address
- Bethel Universtiy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 12
Registry record
- Primary taxonomy
- Athletic Trainer
2255A2300X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-08-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee