Individual
LEAH KIRBY JASINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 S PROVIDENCE RD, COLUMBIA, MO 65211-0001
(660) 853-0110
Mailing address
703 COLLEGE AVE, MARYVILLE, MO 64468-1250
(660) 853-0110
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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