National Provider Identifier
Adrian Western, MS, ATC
Adrian Western, MS, 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.
Profile Overview
- NPI
- 1649691767
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- December 16, 2013
- Last Updated
- December 16, 2013
Practice Location
- 310 Taughannock Blvd Ste 5A
- Ithaca, NY 14850-3251
Phone: (607) 252-3580
Mailing Address
- 559 Brooktondale RD
- Brooktondale, NY 14817-9401
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1649691767
- Entity Type
- Individual
- Last Name
- Western
- First Name
- Adrian
- Name Prefix
- Mr.
- Credential
- MS, ATC
- Mailing Street Address
- 559 Brooktondale RD
- Mailing City
- Brooktondale
- Mailing State
- NY
- Mailing ZIP Code
- 14817-9401
- Mailing Country
- US
- Practice Street Address
- 310 Taughannock Blvd Ste 5A
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3251
- Practice Country
- US
- Practice Phone
- (607) 252-3580
- Enumeration Date
- December 16, 2013
- Last Updated
- December 16, 2013
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)