Individual
STACI F BRENNEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 HILLTOP DR, MOUNT VERNON, OH 43050-1841
(740) 392-8489
Mailing address
40 HILLTOP DR, MOUNT VERNON, OH 43050-1841
(740) 392-8489
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/07/2022
Last updated
07/02/2024
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