Phillip Buganski, LAT, OTC
Phillip Buganski, LAT, OTC is an Other Technician in Vadnais Heights, Minnesota. Practices as a sole proprietor. Licensed in Minnesota.
- Licensed in
- MN
- In the registry since
- 2020
What do these letters mean?
- LAT — Licensed Athletic Trainer
- A state-licensed athletic trainer.
Practice location Address checks out
3580 Arcade StVadnais Heights, MN 55127-7135
Phone: (651) 968-5200
Fax: (651) 730-3750
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X · Licence 2389 (MN) |
|---|
Record details
| NPI number | 1174110043 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LAT , OTC |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | December 28, 2020 |
| Certification date | December 28, 2020 |
| Mailing address | 4952 Emmit Dr N Unit 2, Hugo, MN 55038-8505 |