Individual
BAILEY LEESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
10550 N STRATFORD PL, MEQUON, WI 53092-5553
(414) 719-0244
Mailing address
10550 N STRATFORD PL, MEQUON, WI 53092-5553
(414) 719-0244
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1520-39
WI
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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