MR. Michael Todd Vanbruggen, ATC
NPI #1063485852 in Jefferson City, Tennessee
Provider Information
- NPI Number
- 1063485852
- Entity Type
- Individual
- Name
- MR. Michael Todd Vanbruggen, ATC
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Feb 10, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2130 S BRANNER AVE
- Address 2
- CN BOX 72030
- City
- Jefferson City
- State
- Tennessee
- ZIP Code
- 37760-2224
- Phone
- (865) 471-3368
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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