IndividualActive
Amy Grover, ATC
NPI 1811145980 · Athletic Trainer · East Syracuse, NY
Provider details
- NPI number
- 1811145980
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- License
- 002115 (NY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5823 Widewaters Pkwy
East Syracuse, NY 13057-3084
Phone: (315) 418-4007
Approximate (ZIP-level) locationGet directions
Mailing address
7089 Jones Rd
Syracuse, NY 13209-9702
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2023-12-28
- Certified
- 2023-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.