National Provider Identifier

Kent M Weisbeck, ATC, LICENSED

Kent M Weisbeck, ATC, LICENSED is listed in the NPPES registry with a primary specialty of Athletic Trainer in Rochester, NY and a listed phone number of (585) 454-5335.

NPI 1841264504Rochester, NYAthletic Trainer

Profile Overview

NPI
1841264504
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
February 16, 2006
Last Updated
July 08, 2007

Practice Location

  • 1 War Memorial Sq
  • Rochester, NY 14614-2109

Phone: (585) 454-5335

Mailing Address

  • 36 Mayfair Dr
  • Rochester, NY 14617-3507

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1841264504
Entity Type
Individual
Last Name
Weisbeck
First Name
Kent
Middle Name
M
Name Prefix
Mr.
Credential
ATC, LICENSED
Mailing Street Address
36 Mayfair Dr
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-3507
Mailing Country
US
Mailing Phone
(585) 338-9471
Mailing Fax
(585) 338-9471
Practice Street Address
1 War Memorial Sq
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14614-2109
Practice Country
US
Practice Phone
(585) 454-5335
Practice Fax
(585) 454-3954
Enumeration Date
February 16, 2006
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
X
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)