NPI 1104469741

Tyler Witek

Practitioner Athletic Trainer Amherst, NY

Practice location

Address: 4380 Main St, Amherst, NY 14226-3544
Phone: (800) 462-7652

Registered specialties

Athletic Trainer Primary

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

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Registry record

NPI: 1104469741
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Oct 2019
Record last updated: 27 Oct 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.