Dillon Bruxvoort
Specialist/Technologist, Athletic Trainer in Bloomington, MN. Individual provider (NPI-1).
NPI number1780150946
StatusActive
Last updated in NPPESAug 11, 2020
Details
- NPI
- 1780150946
- Entity type
- Individual (NPI-1)
- Name
- Dillon Bruxvoort
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Oct 15, 2018
- Certification date
- Aug 11, 2020
- Last updated
- Aug 11, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
8100 Northland DrBloomington, MN 55431-4800
Phone 952-831-8742
Mailing address
4523 160th StUrbandale, IA 50323-2281
Other practice locations
4523 160th St
Urbandale, IA 50323-2281
Urbandale, IA 50323-2281
Phone 515-577-8905
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All 31 Athletic Trainer providers in Bloomington · All 4,142 providers in Bloomington
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