Georgia Van Leijsen
Georgia Van Leijsen is an Athletic Trainer in Ridgeland, Mississippi. Licensed in New Mexico. Registered with an NPI since 2015.
- Licensed in
- NM
- In the registry since
- 2015
- Specialties on file
- 3
Practice location Address checks out
599 Highland Colony Pkwy Ste 110Ridgeland, MS 39157-6075
Phone: (601) 202-5980
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|---|
| Athletic Trainer | Taxonomy 2255A2300X · Licence AT715 (NM) |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1871974055 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 14, 2015 |
| Last updated in NPPES | June 3, 2024 |
| Certification date | June 3, 2024 |
| Mailing address | 4654 Hickory Ridge Rd, Jackson, MS 39211-5846 |
Other providers in Ridgeland
-
Keizia Davidson, ATC, LAC
153 Ripon Ct, Ridgeland, MS 39157-1265 · (601) 624-5953
-
Breanna Humphrey
750A Wicklow Pl, Ridgeland, MS 39157-1236 · (601) 540-7780
-
Casee Leigh Rhodus, MS, ATC, LAT
715 Rice Rd Apt 1C, Ridgeland, MS 39157-3006 · (601) 810-3090
-
Brienna Simspon
2088 Lakeshore Dr, Ridgeland, MS 39157-1024 · (661) 860-0697