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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GLEN CULBERTSON, PH.D.

Active Sole Proprietor

DR. GLEN CULBERTSON, PH.D. is a Athletic Trainer healthcare provider located in LATHAM, New York. NPI 1639709405 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · LATHAM, NY

Registration Details

NPI Number
1639709405
Provider Type
Individual
Gender
Male
NPI Issued
Jan 21, 2020 (6.5842889091597 yrs)
Last Updated
Jan 21, 2020
Sole Proprietor
Yes

Practice Information

Address
41 PARK AVE
LATHAM, NY, 121104130
Browse NY providers · Browse ZIP 12110
Phone
5187839884
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in LATHAM, NY

Name Credential NPI
MR. MICHAEL PLAISANCE ATC 1093257370
KAELYN MADELONE 1760066484
CAROLINE PEYRON 1558030577
NICOLE RYAN 1285436857
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.