National Provider Identifier

Jarett Parker, ATC

Jarett Parker, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Tonawanda, NY and a listed phone number of (716) 862-0567.

NPI 1174611933Tonawanda, NYAthletic Trainer

Profile Overview

NPI
1174611933
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
October 10, 2006
Last Updated
July 08, 2007

Practice Location

  • 2540 Sheridan Dr
  • Tonawanda, NY 14150-9410

Phone: (716) 862-0567

Mailing Address

  • 4312 Townline RD
  • Delevan, NY 14042-9450

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1174611933
Entity Type
Individual
Last Name
Parker
First Name
Jarett
Name Prefix
Mr.
Credential
ATC
Mailing Street Address
4312 Townline RD
Mailing City
Delevan
Mailing State
NY
Mailing ZIP Code
14042-9450
Mailing Country
US
Practice Street Address
2540 Sheridan Dr
Practice City
Tonawanda
Practice State
NY
Practice ZIP Code
14150-9410
Practice Country
US
Practice Phone
(716) 862-0567
Enumeration Date
October 10, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)