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Jerad Bruggeman, ATC
NPI 1518311802 · on the registry since 2016 · sole proprietor
Practice
- Address
- 500 College Hl
Liberty, MO 64068 - Phone
- (816) 415-5954
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-04-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri