Individual
LESLEY SHEELEY MAZICK
Active
Individual
LESLEY SHEELEY MAZICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2021013332
MO
225100000X
Physical Therapist
Primary
PT014655
GA
2255A2300X
Athletic Trainer
AT003322
GA
Other
Enumeration date
05/29/2017
Last updated
02/19/2026
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