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MISS KELLEY LUCILLE WEIDINGER ATC, LAT
NPI 1093910812
Specialist/Technologist - Athletic Trainer in Jefferson City, MO

Active since June 20, 2007
3308 W EDGEWOOD DR STE F, JEFFERSON CITY, MO 65109(573) 638-3400(573) 638-3405 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miss Kelley Lucille Weidinger Atc, Lat NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KELLEY LUCILLE WEIDINGER ATC, LAT (NPI 1093910812) is an individual athletic trainer provider in Jefferson City, Missouri, licensed in Missouri (2007017252) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1093910812
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMISS KELLEY LUCILLE WEIDINGERCredential: ATC, LAT
Location Address3308 W EDGEWOOD DR STE FJefferson City, MO 65109-6891
Mailing Address11820 Maries Road 328Vienna, MO 65582-7123 · (573) 680-3826
Phone(573) 638-3400
Fax(573) 638-3405
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1093910812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
License✔ Licensed in MO · 2007017252
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
3308 W EDGEWOOD DR STE F, Jefferson City, MO 65109
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SPENSER DEEKEN
Specialist/Technologist (Athletic Trainer)
3308 W EDGEWOOD DR STE F
JEFFERSON CITY, MO 65109
Cole County (573) 638-3400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelley Weidinger's NPI number?

The NPI number for Kelley Weidinger is 1093910812. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Kelley Weidinger located?

Kelley Weidinger practices at 3308 W Edgewood Dr Ste F, Jefferson City, MO 65109. The listed phone number is (573) 638-3400.

What is Kelley Weidinger's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kelley Weidinger was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.