National Provider Identifier

Tyler Witek

Tyler Witek is listed in the NPPES registry with a primary specialty of Athletic Trainer in Amherst, NY and a listed phone number of (800) 462-7652.

NPI 1104469741Amherst, NYAthletic Trainer

Profile Overview

NPI
1104469741
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
October 27, 2019
Last Updated
October 27, 2019

Practice Location

  • 4380 Main St
  • Amherst, NY 14226-3544

Phone: (800) 462-7652

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1104469741
Entity Type
Individual
Last Name
Witek
First Name
Tyler
Mailing Street Address
4380 Main St
Mailing City
Amherst
Mailing State
NY
Mailing ZIP Code
14226-3544
Mailing Country
US
Practice Street Address
4380 Main St
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14226-3544
Practice Country
US
Practice Phone
(800) 462-7652
Enumeration Date
October 27, 2019
Last Updated
October 27, 2019
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)