Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charles Wade Weaver, ATC, AT, LAT

Individual provider Athletic Trainer · NPI 1316453384

Charles Wade Weaver, ATC, AT, LAT is an Athletic Trainer in Middleville, Michigan. Practices as a sole proprietor. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
LAT — Licensed Athletic Trainer
A state-licensed athletic trainer.

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Practice location Address checks out

11399 Davis Rd
Middleville, MI 49333-8652
Phone: (936) 443-6289
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 2000008006

Record details

NPI number1316453384
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , AT , LAT
Sole proprietorYes
NPI enumeratedDecember 28, 2017
Last updated in NPPESDecember 28, 2017

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