National Provider Identifier

Justin Robert Waas, ATC

Justin Robert Waas, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Niagara Falls, NY and a listed phone number of (716) 425-7755.

NPI 1881082816Niagara Falls, NYAthletic Trainer

Profile Overview

NPI
1881082816
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
December 29, 2014
Last Updated
December 29, 2014

Practice Location

  • 2192 North Ave
  • Niagara Falls, NY 14305-3070

Phone: (716) 425-7755

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1881082816
Entity Type
Individual
Last Name
Waas
First Name
Justin
Middle Name
Robert
Credential
ATC
Mailing Street Address
2192 North Ave
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14305-3070
Mailing Country
US
Mailing Phone
(716) 425-7755
Practice Street Address
2192 North Ave
Practice City
Niagara Falls
Practice State
NY
Practice ZIP Code
14305-3070
Practice Country
US
Practice Phone
(716) 425-7755
Enumeration Date
December 29, 2014
Last Updated
December 29, 2014
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)