National Provider Identifier
Geena Marie Grattan, ATC
Geena Marie Grattan, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Keuka Park, NY and a listed phone number of (315) 279-5000.
Profile Overview
- NPI
- 1578073516
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- October 04, 2017
- Last Updated
- October 04, 2017
Practice Location
- 141 Central Ave
- Keuka Park, NY 14478-9764
Phone: (315) 279-5000
Mailing Address
- 1 Hickory St
- Keuka Park, NY 14478-9605
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1578073516
- Entity Type
- Individual
- Last Name
- Grattan
- First Name
- Geena Marie
- Name Prefix
- MS.
- Credential
- ATC
- Mailing Street Address
- 1 Hickory St
- Mailing City
- Keuka Park
- Mailing State
- NY
- Mailing ZIP Code
- 14478-9605
- Mailing Country
- US
- Mailing Phone
- (585) 813-3842
- Practice Street Address
- 141 Central Ave
- Practice City
- Keuka Park
- Practice State
- NY
- Practice ZIP Code
- 14478-9764
- Practice Country
- US
- Practice Phone
- (315) 279-5000
- Practice Fax
- (315) 279-5000
- Enumeration Date
- October 04, 2017
- Last Updated
- October 04, 2017
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 1
- 193400000X Single Specialty Group
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)