Bruce Willard LAT, ATC

  • NPI 1053738047
According to our database, the NPI number for Bruce Willard LAT, ATC is 1053738047 and activated since 10 years ago. Bruce Willard LAT, ATC is an individual provider who specializes in Athletic Trainer, and the primary practice location is 201 Pennsylvania Parkway, Indianapolis, IN 46280. You can also contact Bruce Willard LAT, ATC via telephone number is (317) 491-5464. Provider NPI information was last updated on 03/27/2014.

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Overview of Bruce Willard LAT, ATC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 03/27/2014
  • Last updated: 03/27/2014

Primary Scrop of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 36000670A
  • License State: IN

Provider Mailing Address

  • Address: 10356 Parkshore Dr
    Fishers, IN 46038
  • Phone: 317-491-5464
  • Fax:

Provider Practice Location

  • Address: 201 Pennsylvania Parkway
    Thomas A Brady Sports Medicine Center Pc
    Indianapolis, IN 46280
  • Phone: 317-491-5464
  • Fax:

Scope of Practice

  • Taxonomy Code: 2255A2300X
  • Specialty: Athletic Trainer
  • License Number: 36000670A
  • License State: IN
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Bruce Willard LAT, ATC?
  • A: The npi number for Bruce Willard LAT, ATC is 1053738047.
  • Q: What are Bruce Willard LAT, ATC's specialties?
  • A: Bruce Willard LAT, ATC's specialties are Athletic Trainer and different specialities.
  • Q: What is the medical license for Bruce Willard LAT, ATC?
  • A: The medical license number for Bruce Willard LAT, ATC is 36000670A and issued in IN in USA.
  • Q: Where is Bruce Willard LAT, ATC practice location?
  • A: Bruce Willard LAT, ATC is practicing at 201 Pennsylvania Parkway, Indianapolis, IN 46280.
  • Q: How to contact Bruce Willard LAT, ATC?
  • A: You can contact Bruce Willard LAT, ATC via 317-491-5464.