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Individual

MICHELLE LEITHEISER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
909 N MAPLE, WATERTOWN, SD 57201-1683
(605) 237-7171
Mailing address
909 N MAPLE, WATERTOWN, SD 57201-1683
(605) 237-7171

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0285
SD

Other

Enumeration date
07/11/2014
Last updated
07/11/2014
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