Michael Wade Lawther, DC, ATC
Specialist/Technologist, Athletic Trainer in Buffalo, NY. Individual provider (NPI-1).
NPI number1083158331
StatusActive
Last updated in NPPESJun 21, 2025
Details
- NPI
- 1083158331
- Entity type
- Individual (NPI-1)
- Name
- Michael Wade Lawther
- Credential
- DC, ATC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2016
- Certification date
- Jun 21, 2025
- Last updated
- Jun 21, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | 013970 | NY |
Practice location
20 Alumni ArenaBuffalo, NY 14260-5001
Phone 716-645-5138
Mailing address
1477 Wehrle DrBuffalo, NY 14221-6923
Phone 412-303-6192
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