Provider Demographics
NPI:1689178410
Name:WEEKS, CAMARIE (ATC)
Entity Type:Individual
Prefix:
First Name:CAMARIE
Middle Name:
Last Name:WEEKS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:CAMARIE
Other - Middle Name:
Other - Last Name:SLAGLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1103 S ASPEN ST
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:MO
Mailing Address - Zip Code:64485-1901
Mailing Address - Country:US
Mailing Address - Phone:816-632-0605
Mailing Address - Fax:
Practice Address - Street 1:2401 TERRA CROSSING BLVD STE 101
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40245-5395
Practice Address - Country:US
Practice Address - Phone:502-210-4600
Practice Address - Fax:502-210-4605
Is Sole Proprietor?:No
Enumeration Date:2018-03-19
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYTCA9422255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer