Austin Bruff

Individual provider Active NPI Athletic Trainer · Flushing, MI

NPI 1689474124 · NPPES record last updated Mar 14, 2025

Key facts

NPI
1689474124
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
209 S Cherry St
Flushing, MI 48433-2020
Phone
(810) 487-9733
NPI assigned
Mar 14, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

209 S Cherry St
Flushing, MI 48433-2020

Mailing address

209 S Cherry St
Flushing, MI 48433-2020

Other providers in Flushing, MI

All providers in Flushing, MI · Athletic Trainer in Michigan

Sources for this page

Verify at the official NPI Registry.