Whalio Doctors

NPI 1285604546

Ian Hazelton, PT

Practitioner Athletic Trainer Manchester, CT

Practice location

Address
252 North Main Street Eastern Rehabilitation Network 5th Floor, Manchester, CT 06040
Phone
(860) 643-3562
Fax
(860) 643-3565
Mailing address
181 Patricia Genova Drive Eastern Rehabilitation Network 5th Floor, Newington, CT 06111

Registered specialties (2)

Athletic Trainer Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 000302 (CT)
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 006992 (CT)

Registry record

NPI
1285604546
Entity type
Individual
Sex (as registered)
Male
NPI issued
26 Jan 2006
Record last updated
11 Sep 2025

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.