Individual provider · Type 1 NPI
Brandon Lofthouse
Student in an Organized Health Care Education/Training Program · Spring Grove, IL
NPI number
1770944290
Active
Practice location
37819 N Watts Ave
Spring Grove, IL 60081-9324
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1770944290
Brandon Lofthouse's National Provider Identifier is 1770944290, issued on Mar 10, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Spring Grove, IL. The record was last updated on Mar 10, 2016.