Individual
STEPHANIE LEECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., ATC
Contact information
Practice address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
(765) 494-9899
Mailing address
900 N JOHN R WOODEN DR, WEST LAFAYETTE, IN 47907-2117
(765) 494-3245
(765) 494-9899
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002030A
IN
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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