Individual
TISHERI M LEONARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAT, LAT, ATC
Contact information
Practice address
1601 E MARKET ST, GREENSBORO, NC 27411-0002
(336) 398-8676
Mailing address
1 SUMMERTREE LOOP APT C, GREENSBORO, NC 27406-5628
(717) 719-7103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-4412
NC
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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