Billy Bruggink, PT, DPT, ATC

NPI #1154708683 in Mequon, Wisconsin

Provider Information

NPI Number: 1154708683
Entity Type: Individual
Name: Billy Bruggink, PT, DPT, ATC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, ATC
Enumeration Date: May 5, 2015
Last Updated: Nov 1, 2021

Practice Location

Address: 11430 N PORT WASHINGTON RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-3414
Phone: (262) 518-1900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Physical Therapist	225100000X	Primary

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