Individual
TYLER WITEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4380 MAIN ST, AMHERST, NY 14226-3544
(800) 462-7652
Mailing address
4380 MAIN ST, AMHERST, NY 14226-3544
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2019
Last updated
10/27/2019
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