-- THOMAS M BRUNDAGE -- ATC
Individual Provider (NPI-1)
Active
Specialist/Technologist, Athletic Trainer
Provider Information
- NPI Number
1477577500- Provider Type
- Individual Provider (NPI-1)
- Credentials
- ATC
- Status
- Active
Contact & Location
- Address
- 1002 DIAMOND RDG STE 800, JEFFERSON CITY, MO, 651097906
- Phone
- (573) 761-9360
- Fax
- (573) 761-9362
Specialties & Taxonomies
Specialist/Technologist, Athletic Trainer
Primary License: MO #106726