Individual
LEISHA LYNETTE GRIFFITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT,ATC
Contact information
Practice address
4601 WILDCAT DR, PORTLAND, TX 78374-2827
(361) 777-4251
Mailing address
4601 WILDCAT DR, PORTLAND, TX 78374-2827
(361) 777-4251
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6974
TX
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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