Malia Brudvik, MS, ATC, LAT, CSCS
Specialist/Technologist, Athletic Trainer in Sahuarita, AZ. Individual provider (NPI-1).
NPI number1467167353
StatusActive
Last updated in NPPESJan 6, 2024
Details
- NPI
- 1467167353
- Entity type
- Individual (NPI-1)
- Name
- Ms. Malia Brudvik
- Credential
- MS, ATC, LAT, CSCS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 16, 2023
- Certification date
- Jan 6, 2024
- Last updated
- Jan 6, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | ATR-009531 | AZ | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
350 W Sahuarita Rd Bldg 10Sahuarita, AZ 85629-9000
Phone 520-625-3502
Mailing address
7168 W Vineridge DrTucson, AZ 85757-0154
Phone 253-736-3554
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