Individual
ADAM JOSEPH BRAUNECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3355 E 550S, HUNTINGBURG, IN 47542-9552
(812) 639-7894
Mailing address
3309 COLCHESTER CIR, LEBANON, TN 37087-8210
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2243
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/13/2015
Last updated
01/14/2019
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