Brant Allen Brouillette
Brant Allen Brouillette is an Athletic Trainer in Goshen, Indiana. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
58396 Hemminger DrGoshen, IN 46528-9130
Phone: (574) 536-2070
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1467167742 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 20, 2023 |
| Last updated in NPPES | January 20, 2023 |
| Certification date | January 20, 2023 |
| Mailing address | 58396 Hemminger Dr, Goshen, IN 46528-9130 |
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