IndividualActive
Randolph Brunner, LAT/ATC
NPI 1740964832 · Athletic Trainer · Junction City, OR
Provider details
- NPI number
- 1740964832
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LAT/ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- AT-AT-10193515 (OR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
27033 Ferguson Rd
Junction City, OR 97448-9320
Phone: (541) 729-3609
Approximate (ZIP-level) locationGet directions
Mailing address
27033 Ferguson Rd
Junction City, OR 97448-9320
Registry dates
- Enumerated
- 2023-06-09
- Last updated
- 2023-06-09
- Certified
- 2023-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.