Jackson Ryan Brunner, LAT, ATC
NPI #1821563453 in Normal, Illinois
Provider Information
- NPI Number
- 1821563453
- Entity Type
- Individual
- Name
- Jackson Ryan Brunner, LAT, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- LAT, ATC
- Enumeration Date
- Oct 10, 2018
- Last Updated
- Sep 28, 2021
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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