Individual
KIESHA MAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, PES, NS
Contact information
Practice address
1 ENERGY PLAZA DR, JACKSON, MI 49201-2357
(717) 651-9510
Mailing address
1 ENERGY PLAZA DR, JACKSON, MI 49201-2357
(717) 651-9510
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
830
SC
Other
Enumeration date
02/14/2012
Last updated
02/14/2012
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