Individual
MR. TAD DEAN LEUSCH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MS, ATC, LAT
Contact information
Practice address
1 STADIUM DRIVE, 40 JACOBSEN ATHLETIC BUILDING, IOWA CITY, IA 52242
(319) 335-9507
(319) 995-8126
Mailing address
PO BOX 482, TIFFIN, IA 52340-0482
(319) 335-9507
(319) 335-8126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
00556
IA
Other
Enumeration date
02/07/2006
Last updated
07/08/2007
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