Individual
CAITLYN MCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCN, ATC, LAT
Contact information
Practice address
130 WINTER LN, POUNDING MILL, VA 24637-1101
(276) 971-4905
Mailing address
130 WINTER LN, POUNDING MILL, VA 24637-1101
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
2255A2300X
Athletic Trainer
Primary
311908
TN
Other
Enumeration date
11/12/2015
Last updated
04/07/2022
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