Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Leah M Brueckner, ATC

Individual provider Athletic Trainer · NPI 1801504923

Mrs. Leah M Brueckner, ATC is an Athletic Trainer in Roxana, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

401 Chaffer Ave
Roxana, IL 62084-1125
Phone: (618) 920-2452
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X · Licence 096.001407 (IL)

Record details

NPI number1801504923
Entity typeIndividual (Type 1)
GenderFemale
Credentials ATC
Sole proprietorNo
NPI enumeratedNovember 8, 2022
Last updated in NPPESNovember 8, 2022
Certification dateNovember 8, 2022

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