NPI 1194239152

Maxine Weber, MSATCCSCS

Practitioner Athletic Trainer Fort Campbell, KY

Practice location

Address: 650 Joel Dr, Fort Campbell, KY 42223-5318
Phone: (973) 459-9937
Mailing address: 3301 Royster Ln APT 901, Clarksville, TN 37042-7744

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence RT007088 (PA)

Other Specialist/Technologist providers in Kentucky →

Registry record

NPI: 1194239152
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Nov 2017
Record last updated: 13 Sep 2023

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.