JACKSON BRUNNER, LAT, ATC
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1821563453
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | 096.004944 (IL) |
Frequently Asked Questions
NPI 1821563453 is the National Provider Identifier for JACKSON BRUNNER, LAT, ATC, a Specialist/Technologist - Athletic Trainer provider located in Normal, IL. This NPI was enumerated on October 10, 2018.
JACKSON BRUNNER, LAT, ATC practices at 7160 ATHLETICS KAUFMAN FOOTBALL BUILDING, Normal, IL 61790.
Quick Facts
- NPI
- 1821563453
- Type
- Individual
- Enumerated
- Oct 10, 2018
- Last Updated
- Sep 28, 2021
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