Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Brunner

Individual provider Athletic Trainer · NPI 1053900183

Marissa Brunner is an Athletic Trainer in Ogden, Utah. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

1435 Village Dr Dept 2801
Ogden, UT 84408-2801
Phone: (801) 626-0000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1053900183
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2021
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021
Mailing address1435 Village Dr Dept 2801, Ogden, UT 84408-2801

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