Brian Tyler Leach
Brian Tyler Leach is an Athletic Trainer in Saint Louis, Missouri. Registered with an NPI since 2019.
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
6120 Wanda AveSaint Louis, MO 63116-2225
Phone: (636) 234-4277
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X |
Record details
| NPI number | 1003373564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 20, 2019 |
| Last updated in NPPES | February 20, 2019 |
| Mailing address | 6120 Wanda Ave, Saint Louis, MO 63116-2225 |
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