-- ANDREW BRUBAKER --
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1457761405- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 113 SUSAN WAY DR, RICHMOND, KY, 404759694
- Phone
- (859) 248-0425
Specialties & Taxonomies
Emergency Medical Technician, Basic
License: IL #060495082
Specialist/Technologist, Athletic Trainer
Primary License: IL #096.003575