NPI 1063485852

Michael Todd Vanbruggen, ATC

Practitioner Athletic Trainer Jefferson City, TN

Practice location

Address: 2130 S Branner Ave Cn Box 72030, Jefferson City, TN 37760-2224
Phone: (865) 471-3368
Fax: (865) 471-3514

Registered specialties (2)

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 561 (TN)

Other Specialist/Technologist providers in Tennessee →

Athletic Trainer

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence AT1345 (TX)

Registry record

NPI: 1063485852
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Feb 2006
Record last updated: 13 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.