National Provider Identifier

Patrick Sparks, ATC

Patrick Sparks, ATC is listed in the NPPES registry with a primary specialty of Athletic Trainer in Cheektowaga, NY and a listed phone number of (716) 204-3200.

NPI 1881205458Cheektowaga, NYAthletic Trainer

Profile Overview

NPI
1881205458
Provider Type
Individual
Primary Specialty
Athletic Trainer
Enumeration Date
August 16, 2020
Last Updated
August 16, 2020

Practice Location

  • 4225 Genesee St
  • Cheektowaga, NY 14225-1994

Phone: (716) 204-3200

Mailing Address

  • 833 Willow St
  • Lockport, NY 14094-5125

Specialties

  • Athletic Trainer (2255A2300X)
Full Record
NPI
1881205458
Entity Type
Individual
Last Name
Sparks
First Name
Patrick
Name Prefix
Mr.
Credential
ATC
Mailing Street Address
833 Willow St
Mailing City
Lockport
Mailing State
NY
Mailing ZIP Code
14094-5125
Mailing Country
US
Practice Street Address
4225 Genesee St
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14225-1994
Practice Country
US
Practice Phone
(716) 204-3200
Enumeration Date
August 16, 2020
Last Updated
August 16, 2020
Sex
Male
Sole Proprietor
No
Certification Date
August 16, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Athletic Trainer (2255A2300X)