# MR. RANDALL SCOTT BRACKNEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396709408
- **Gender:** Man
- **Credential:** ATC/LAT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2255A2300X | Athletic Trainer | 36000387A | IN | — |
| 2255A2300X | Athletic Trainer | AT 002171 | OH | Yes |

## Other

- **Enumeration date:** 04/14/2006
- **Last updated:** 07/13/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 36000387A | ATHLETIC TRAINERS LICENSE | IN |
| 01 | — | AT 002171 | ATHLETIC TRAINERS LICENSE | OH |