National Provider Identifier

Brian Buttrick

Brian Buttrick is listed in the NPPES registry with a primary specialty of Athletic Trainer in Ithaca, NY and a listed phone number of (860) 575-1957.

NPI 1700417128Ithaca, NYAthletic Trainer

Profile Overview

NPI
1700417128
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 04, 2020
Last Updated
February 04, 2020

Practice Location

  • 953 Danby RD
  • Ithaca, NY 14850-7000

Phone: (860) 575-1957

Mailing Address

  • 1232 McKinley Ave
  • Rutland, VT 05701-9776

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1700417128
Entity Type
Individual
Last Name
Buttrick
First Name
Brian
Mailing Street Address
1232 McKinley Ave
Mailing City
Rutland
Mailing State
VT
Mailing ZIP Code
05701-9776
Mailing Country
US
Practice Street Address
953 Danby RD
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-7000
Practice Country
US
Practice Phone
(860) 575-1957
Enumeration Date
February 04, 2020
Last Updated
February 04, 2020
Sex
Male
Sole Proprietor
No
Certification Date
February 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)