MICHAEL TODD VANBRUGGEN

JEFFERSON CITY, TN
NPI1063485852
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TN  561)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX  AT1345)
Enumeration Date2006-02-10
Last Update Date2007-07-08
Business Address
Mr. MICHAEL TODD VANBRUGGEN ATC
2130 S BRANNER AVE CN BOX 72030
JEFFERSON CITY, TN 37760-2224
Phone number: 865-471-3368
Mailing Address
Mr. MICHAEL TODD VANBRUGGEN ATC
2130 S BRANNER AVE CN BOX 72030
JEFFERSON CITY, TN 37760-2224
Phone number: 865-471-3368