IndividualActive
Maxine Weber, MS, ATC, CSCS
NPI 1194239152 · Athletic Trainer · Fort Campbell, KY
Provider details
- NPI number
- 1194239152
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC, CSCS
- Sex
- Female
- Sole proprietor
- Yes
- License
- RT007088 (PA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (973) 459-9937
Approximate (ZIP-level) locationGet directions
Mailing address
3301 Royster Ln Apt 901
Clarksville, TN 37042-7744
Registry dates
- Enumerated
- 2017-11-28
- Last updated
- 2023-09-13
- Certified
- 2023-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.