Individual
MAGGIE LEAHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1414 UNIVERSITY BLVD, ALBUQUERQUE, NM 87131-3328
(505) 925-5540
Mailing address
240 HANNUM AVE, ROSSFORD, OH 43460-1112
(419) 654-4176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT785
NM
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/08/2017
Last updated
08/06/2019
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