Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mark Alexander Weaver, MAED, ATC, LAT

Individual provider Athletic Trainer · NPI 1194005090

Mark Alexander Weaver, MAED, ATC, LAT is an Athletic Trainer in Mc Kenzie, Tennessee. Licensed in Tennessee. Registered with an NPI since 2011.

Licensed in
TN
In the registry since
2011
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

325 Cherry Ave
Mc Kenzie, TN 38201-1769
Phone: (731) 352-4000
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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 476 (TN)

Record details

NPI number1194005090
Entity typeIndividual (Type 1)
GenderMale
Credentials MAED , ATC , LAT
Sole proprietorNo
NPI enumeratedAugust 23, 2011
Last updated in NPPESAugust 23, 2011

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