National Provider Identifier
Jacob Radlich, ATC, LAT
Jacob Radlich, ATC, LAT is listed in the NPPES registry with a primary specialty of Athletic Trainer in Orchard Park, NY and a listed phone number of (716) 939-4469.
Profile Overview
- NPI
- 1649703539
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- April 06, 2017
- Last Updated
- April 06, 2017
Practice Location
- 1 Bills Dr
- Orchard Park, NY 14127-2237
Phone: (716) 939-4469
Mailing Address
- 34 Briarcliff RD
- Buffalo, NY 14225-1502
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1649703539
- Entity Type
- Individual
- Last Name
- Radlich
- First Name
- Jacob
- Credential
- ATC, LAT
- Mailing Street Address
- 34 Briarcliff RD
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14225-1502
- Mailing Country
- US
- Practice Street Address
- 1 Bills Dr
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2237
- Practice Country
- US
- Practice Phone
- (716) 939-4469
- Enumeration Date
- April 06, 2017
- Last Updated
- April 06, 2017
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)