Individual
ABIGAIL LEISEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
114 S 79TH ST, MILWAUKEE, WI 53214-1413
(309) 258-9398
Mailing address
1130 CREEKSIDE DR UNIT 202, OCONOMOWOC, WI 53066-8815
(309) 258-9398
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2248-39
WI
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
01/20/2018
Last updated
04/08/2021
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