Jackson Ryan Brunner, LAT, ATC
Jackson Ryan Brunner, LAT, ATC is an Athletic Trainer in Normal, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
Practice location Address checks out
7160 Athletics Kaufman Football BldgNormal, IL 61790-6953
Phone: (309) 438-0607
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Athletic Trainer (primary) | Taxonomy 2255A2300X · Licence 096.004944 (IL) |
|---|
Record details
| NPI number | 1821563453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LAT , ATC |
| Sole proprietor | No |
| NPI enumerated | October 10, 2018 |
| Last updated in NPPES | September 28, 2021 |
| Certification date | September 28, 2021 |
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