IndividualActive
Andrew Brubaker
NPI 1457761405 · Athletic Trainer · Richmond, KY
Provider details
- NPI number
- 1457761405
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 060495082 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Emergency Medical Service Providers
Practice location
113 Susan Way Dr
Richmond, KY 40475-9694
Phone: (859) 248-0425
Approximate (ZIP-level) locationGet directions
Mailing address
113 Susan Way Dr
Richmond, KY 40475-9694
Registry dates
- Enumerated
- 2014-04-30
- Last updated
- 2014-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.