Brandon Lofthouse

NPI #1770944290 in Spring Grove, Illinois

Provider Information

NPI Number: 1770944290
Entity Type: Individual
Name: Brandon Lofthouse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 10, 2016
Last Updated: Mar 10, 2016

Practice Location

Address: 37819 N WATTS AVE
City: Spring Grove
State: Illinois
ZIP Code: 60081-9324
Phone: (224) 639-8519

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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