Individual
COLBY WESTERVELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1 ACADEMY STREET, CANDOR, NY 13743
(607) 659-5020
Mailing address
2673 LOCKWOOD RUN RD, LOCKWOOD, NY 14859-9624
(607) 742-1051
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000268-1
NY
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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