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

Philip Weivoda, ATC

Individual provider Athletic Trainer · NPI 1588329775

Philip Weivoda, ATC is an Athletic Trainer in Tupelo, Mississippi. Licensed in Mississippi. Registered with an NPI since 2021.

Licensed in
MS
In the registry since
2021
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

235 Road 1399
Tupelo, MS 38804-7537
Phone: (503) 351-6211
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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 AT0731 (MS)

Record details

NPI number1588329775
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 3, 2021
Certification dateNovember 3, 2021

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