JODY BRENT BRUCKER

TERRE HAUTE, IN
NPI1891800702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001007A)
Enumeration Date2006-08-20
Last Update Date2007-07-08
Business Address
Dr. JODY BRENT BRUCKER ATC
200 N 7TH ST C-11, ARENA BUILDING
TERRE HAUTE, IN 47809-1902
Phone number: 812-237-3962
Mailing Address
Dr. JODY BRENT BRUCKER ATC
7599 S WILLIAMSBURG ST
TERRE HAUTE, IN 47802-9336
Phone number: 812-298-8779
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