Individual
LESLIE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
2420 E 29TH AVE STE 100, SPOKANE, WA 99223-4868
(509) 724-4320
Mailing address
4711 N LYONS RD, SPOKANE, WA 99224-8925
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160493544
WA
Other
Enumeration date
09/07/2017
Last updated
09/07/2017
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