DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS EUGENE VAN BUSKIRK, MS, LAT, ATC

Active Sole Proprietor

THOMAS EUGENE VAN BUSKIRK, MS, LAT, ATC is a Athletic Trainer healthcare provider located in ROSE CREEK, Minnesota. NPI 1134508906 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · ROSE CREEK, MN

Registration Details

NPI Number
1134508906
Provider Type
Individual
Gender
Male
NPI Issued
May 26, 2015 (11.190625564037 yrs)
Last Updated
Nov 30, 2020
License
087800 (IA)
Sole Proprietor
Yes

Practice Information

Address
401 ASH ST SW
ROSE CREEK, MN, 559708806
Browse MN providers · Browse ZIP 55970
Phone
5074406842
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.