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Fontaine Weedon, LAT, ATC

NPI 1417862160 · on the registry since 2026 · sole proprietor

Practice

Address
207 Legends Ln
Lexington, KY 40505
Phone
(240) 439-7818

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-17

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 Kentucky