IndividualActive
Melissa Brungard
NPI 1508260308 · Athletic Trainer · Seneca, IL
Provider details
- NPI number
- 1508260308
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 096.003095 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
364 Seneca Place
Seneca, IL 61360
Phone: (217) 244-4921
Approximate (ZIP-level) locationGet directions
Mailing address
364 Seneca Pl
Seneca, IL 61360-9681
Registry dates
- Enumerated
- 2014-10-22
- Last updated
- 2015-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.