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

JACOB RADLICH, ATC, LAT

Active

JACOB RADLICH, ATC, LAT is a Athletic Trainer healthcare provider located in ORCHARD PARK, New York. NPI 1649703539 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ORCHARD PARK, NY

Registration Details

NPI Number
1649703539
Provider Type
Individual
Gender
Male
NPI Issued
Apr 6, 2017 (9.3208675039718 yrs)
Last Updated
Apr 6, 2017
License
003379 (NY)

Practice Information

Address
1 BILLS DR
ORCHARD PARK, NY, 141272237
Browse NY providers · Browse ZIP 14127
Phone
7169394469
Primary Specialty
Athletic Trainer
2255A2300X

Other Athletic Trainer Providers in ORCHARD PARK, NY

Name Credential NPI
MS. CARY B CARTONIA ATC, PES 1881737609
MS. JULIE MARIE LUKA ATC 1891010153
MR. BURDETTE CARPENTER ATC 1821338781
LEO MCMILLEN 1124369921
WILLIAM KWIEK III 1366820219
GREGORY DAVID BEAN M.S., ATC, CSCS 1649635905
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.