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

BRANDON M BOTT, PHARMD

Active

BRANDON M BOTT, PHARMD is a Athletic Trainer healthcare provider located in GRAND LEDGE, Michigan. NPI 1356941710 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · GRAND LEDGE, MI

Registration Details

NPI Number
1356941710
Provider Type
Individual
Gender
Male
NPI Issued
Oct 27, 2020 (5.7756780435476 yrs)
Last Updated
Jun 10, 2024
Licenses
5302412671 (MI)
051.303261 (IL)

Practice Information

Address
730 E SAGINAW HWY
GRAND LEDGE, MI, 488378411
Browse MI providers · Browse ZIP 48837
Phone
5176226810
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.