Individual
LEE BRASCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 MARINA RD, IRMO, SC 29063-8532
(803) 622-5838
Mailing address
1060 MARINA RD, IRMO, SC 29063-8532
(803) 622-5838
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/16/2025
Last updated
10/16/2025
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