John Mitchell Bruketa, ATC, AT
Specialist/Technologist, Athletic Trainer in Akron, OH. Individual provider (NPI-1).
NPI number1891196200
StatusActive
Last updated in NPPESMar 17, 2018
Details
- NPI
- 1891196200
- Entity type
- Individual (NPI-1)
- Name
- John Mitchell Bruketa
- Credential
- ATC, AT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 5, 2014
- Last updated
- Mar 17, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | OH | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
215 W Bowery St Ste 7300Akron, OH 44308-1020
Phone 330-543-8260
Mailing address
215 West Bowery Street, Suite 7300Akron, OH 44308
Phone 330-543-8260
Other practice locations
1972 Clark Ave
Alliance, OH 44601-3929
Alliance, OH 44601-3929
Phone 216-308-3177
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