Individual
KELLEY LEGGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC,LAT,OTC,OPE-C
Contact information
Practice address
111 MICHIGAN AVE NW, WEST WING ORTHOPAEDICS 1.5, WASHINGTON, DC 20010
(202) 476-7091
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001547
VA
2255A2300X
Athletic Trainer
Primary
A00059
MD
246ZX2200X
Orthopedic Assistant
—
—
Other
Enumeration date
06/25/2014
Last updated
11/27/2023
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