Weaver, Mattison Marie

Weaver, Mattison Marie is an individual health care provider with primary practice located at 550 Club Ln , Conway AR 72034-3681. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Specialist/Technologist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Weaver, Mattison Marie can be contacted via phone (501) 329-1510.

Contact Information

Primary practice address
550 Club Ln Conway AR 72034-3681
Phone: (501) 329-1510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Specialist/Technologist 235500000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1023532066
LBN Legal business name Weaver, Mattison Marie
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2017
Last updated Aug 1st, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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