Individual
JASON R HATFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC
Contact information
Practice address
2540 SHERIDAN DR, TONAWANDA, NY 14150-9410
(716) 862-0567
Mailing address
80 IVANHOE RD, BUFFALO, NY 14215-3610
(716) 896-7704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
6357399
NY
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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