Alex Bruggeman

NPI #1174299085 in Anna, Ohio

Provider Information

NPI Number: 1174299085
Entity Type: Individual
Name: Alex Bruggeman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 19, 2021
Last Updated: Aug 19, 2021

Practice Location

Address: 14041 STATE ROUTE 29
City: Anna
State: Ohio
ZIP Code: 45302
Phone: (937) 622-0075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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