Individual
LEIZA O'KEEFFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
7150 25TH ST S, FARGO, ND 58104-7804
(701) 446-5777
Mailing address
7150 25TH ST S, FARGO, ND 58104-7804
(701) 446-5777
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
509-13
ND
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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