Individual
JAMIE LEONORA WEISBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
4228 CALGARY WAY, LOUISVILLE, KY 40241-2570
(502) 541-1392
Mailing address
4228 CALGARY WAY, LOUISVILLE, KY 40241-2570
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
KY
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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