IndividualActive
Adrian Western, MS, ATC
NPI 1649691767 · Athletic Trainer · Ithaca, NY
Provider details
- NPI number
- 1649691767
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS, ATC
- Sex
- Male
- Sole proprietor
- No
- License
- 001791-1 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
310 Taughannock Blvd Ste 5a
Ithaca, NY 14850-3251
Phone: (607) 252-3580
Approximate (ZIP-level) locationGet directions
Mailing address
559 Brooktondale Rd
Brooktondale, NY 14817-9401
Registry dates
- Enumerated
- 2013-12-16
- Last updated
- 2013-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.