Individual
LEIGHANNA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2635 TUCKER DR, LOGANVILLE, GA 30052-4314
(404) 954-0988
Mailing address
2635 TUCKER DR, LOGANVILLE, GA 30052-4314
(404) 954-0988
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
—
224Y00000X
Clinical Exercise Physiologist
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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