Individual
MR. JARETT PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2540 SHERIDAN DR, TONAWANDA, NY 14150-9410
(716) 862-0567
Mailing address
4312 TOWNLINE RD, DELEVAN, NY 14042-9450
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001217-1
NY
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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