Maxine Weber, MS, ATC, CSCS
Specialist/Technologist, Athletic Trainer in Fort Campbell, KY. Individual provider (NPI-1).
NPI number1194239152
StatusActive
Last updated in NPPESSep 13, 2023
Details
- NPI
- 1194239152
- Entity type
- Individual (NPI-1)
- Name
- Maxine Weber
- Credential
- MS, ATC, CSCS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2017
- Certification date
- Sep 13, 2023
- Last updated
- Sep 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | RT007088 | PA | Yes |
Practice location
650 Joel DrFort Campbell, KY 42223-5318
Phone 973-459-9937
Mailing address
3301 Royster Ln Apt 901Clarksville, TN 37042-7744
Phone 973-459-9937
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All 28 Athletic Trainer providers in Fort Campbell · All 1,373 providers in Fort Campbell
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