National Provider Identifier

Amy D Bryant, ATC, LAT

Amy D Bryant, ATC, LAT is listed in the NPPES registry with a primary specialty of Athletic Trainer in Canandaigua, NY and a listed phone number of (585) 683-9235.

NPI 1194361394Canandaigua, NYAthletic Trainer

Profile Overview

NPI
1194361394
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
November 22, 2019
Last Updated
November 22, 2019

Practice Location

  • 401 S Main St
  • Canandaigua, NY 14424-2126

Phone: (585) 683-9235

Mailing Address

  • 182 Heather Ln
  • Farmington, NY 14425-7040

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1194361394
Entity Type
Individual
Last Name
Bryant
First Name
Amy
Middle Name
D
Credential
ATC, LAT
Mailing Street Address
182 Heather Ln
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-7040
Mailing Country
US
Practice Street Address
401 S Main St
Practice City
Canandaigua
Practice State
NY
Practice ZIP Code
14424-2126
Practice Country
US
Practice Phone
(585) 683-9235
Enumeration Date
November 22, 2019
Last Updated
November 22, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)
Other Identifiers
020002024 (NY, Nataboc)