Tyler Brucker, A.T.C.
NPI #1104008333 in Gibson City, Illinois
Provider Information
- NPI Number
- 1104008333
- Entity Type
- Individual
- Name
- Tyler Brucker, A.T.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- A.T.C.
- Enumeration Date
- Nov 29, 2007
- Last Updated
- Nov 29, 2007
Practice Location
- Address
- 10 DOCTORS PARK
- City
- Gibson City
- State
- Illinois
- ZIP Code
- 60936-2009
- Phone
- (217) 781-2560
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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