NPI 1023532066

Mattison Marie Weaver, ATC

Practitioner Athletic Trainer Conway, AR

Practice location

Address: 550 Club Ln, Conway, AR 72034-3681
Phone: (501) 329-1510
Mailing address: 15 Kimberly Dr, Vilonia, AR 72173-9018

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Other Specialist/Technologist providers in Arkansas →

Speech/Language/Hearing Specialist/Technologist

Speech, Language and Hearing Service Providers Taxonomy 235500000X

Registry record

NPI: 1023532066
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2017
Record last updated: 1 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.