MEDICARE: MR. KENT M WEISBECK ATC, LICENSED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	000405-1	NY

General Provider Information

NPI Number	:	1841264504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KENT M WEISBECK ATC, LICENSED

Provider Business Mailing Address
First Line	:	36 MAYFAIR DR
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14617-3507
Country	:	US
Telephone Number	:	585-338-9471
Fax Number	:	585-338-9471

Provider Business Practice Location Address
First Line	:	1 WAR MEMORIAL SQ
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14614-2109
Country	:	US
Telephone Number	:	585-454-5335
Fax Number	:	585-454-3954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1124977020 — DR. HANNAH BOLLIG OD
Practice Location Address:

640 APACHE MALL
ROCHESTER, MN
55902-2109

Practice Phone: 507-252-1540
Practice Fax:

1568424497 — DR. GLENN D YOWELL DDS
Practice Location Address:

2109 ROCHESTER AVE
IOWA CITY, IA
52245-3528

Practice Phone: 319-338-0707
Practice Fax: 319-337-4985

1356412365 — DR. RONNEY GENE BALDWIN D.C.
Practice Location Address:

1415 MAIN ST
ROCHESTER, IN
46975-2109

Practice Phone: 574-223-5111
Practice Fax: 574-224-5111

1285948778 — BALDWIN CHIROPRACTIC, LLC
Practice Location Address:

1415 MAIN ST
ROCHESTER, IN
46975-2109

Practice Phone: 574-223-5111
Practice Fax:

1104108646 — MARGARET HEISS
Practice Location Address:

151 CLAIR HILL DR
ROCHESTER HILLS, MI
48309-2109

Practice Phone: 248-608-4290
Practice Fax:

1285911974 — VISIONWORKS, INC.
Practice Location Address:

640 APACHE MALL
ROCHESTER, MN
55902-2109

Practice Phone: 507-252-1540
Practice Fax: 507-252-1736

Directions to “ MR. KENT M WEISBECK ATC, LICENSED” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.