National Provider Identifier
Jason Wentworth, ATC, CSCS
Jason Wentworth, ATC, CSCS is listed in the NPPES registry with a primary specialty of Athletic Trainer in Brockport, NY and a listed phone number of (585) 637-5303.
Profile Overview
- NPI
- 1689173932
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 01, 2018
- Last Updated
- February 01, 2018
Practice Location
- 40 Allen St
- Brockport, NY 14420
Phone: (585) 637-5303
Mailing Address
- 40 Allen St
- Brockport, NY 14420-2228
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1689173932
- Entity Type
- Individual
- Last Name
- Wentworth
- First Name
- Jason
- Credential
- ATC, CSCS
- Mailing Street Address
- 40 Allen St
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-2228
- Mailing Country
- US
- Practice Street Address
- 40 Allen St
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420
- Practice Country
- US
- Practice Phone
- (585) 637-5303
- Enumeration Date
- February 01, 2018
- Last Updated
- February 01, 2018
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Athletic Trainer (2255A2300X)