National Provider Identifier

Elyse Putorti, ATC

Elyse Putorti, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (607) 252-3580.

NPI 1225459449Ithaca, NYAthletic Trainer

Profile Overview

NPI
1225459449
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
December 16, 2013
Last Updated
December 16, 2013

Practice Location

  • 310 Taughannock Blvd
  • Suite 5A
  • Ithaca, NY 14850-3251

Phone: (607) 252-3580

Mailing Address

  • 304 Mineah RD
  • Freeville, NY 13068-9622

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1225459449
Entity Type
Individual
Last Name
Putorti
First Name
Elyse
Name Prefix
MS.
Credential
ATC
Mailing Street Address
304 Mineah RD
Mailing City
Freeville
Mailing State
NY
Mailing ZIP Code
13068-9622
Mailing Country
US
Practice Street Address
310 Taughannock Blvd
Practice Address Line 2
Suite 5A
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-3251
Practice Country
US
Practice Phone
(607) 252-3580
Practice Fax
(607) 252-3971
Enumeration Date
December 16, 2013
Last Updated
December 16, 2013
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)