NPI 1063970408

Hunter Stuart

Practitioner Athletic Trainer Ithaca, NY

Practice location

Address: 953 Danby Rd, Ithaca, NY 14850-7000
Phone: (973) 270-4310
Mailing address: 725 Ridge Rd, Kinnelon, NJ 07405-2130

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1063970408
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2019
Record last updated: 5 Mar 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.