National Provider Identifier
Timothy James Henry, PHD, ATC
Timothy James Henry, PHD, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Brockport, NY and a listed phone number of (585) 395-5357.
Profile Overview
- NPI
- 1871124271
- Provider Type
- Individual
- Primary Specialty
- Athletic Trainer
- Enumeration Date
- February 04, 2020
- Last Updated
- February 04, 2020
Practice Location
- 350 New Campus Dr
- Brockport, NY 14420-2914
Phone: (585) 395-5357
Mailing Address
- 30 Wind Mill RD
- Pittsford, NY 14534-3135
Specialties
- Athletic Trainer (2255A2300X)
Full Record
- NPI
- 1871124271
- Entity Type
- Individual
- Last Name
- Henry
- First Name
- Timothy
- Middle Name
- James
- Name Prefix
- Dr.
- Credential
- PHD, ATC
- Mailing Street Address
- 30 Wind Mill RD
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-3135
- Mailing Country
- US
- Mailing Phone
- (585) 662-3010
- Practice Street Address
- 350 New Campus Dr
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-2914
- Practice Country
- US
- Practice Phone
- (585) 395-5357
- 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)