Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Brenda Lee Lestock, AT/L

Individual provider Athletic Trainer · NPI 1396162079

MS. Brenda Lee Lestock, AT/L is an Athletic Trainer in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona and Ohio.

Licensed in
AZ, OH
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1755 Rustic Timbers Ln Apt 205
Prescott, AZ 86303-6902
Phone: (330) 903-1018
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 1361 (OH)
Athletic Trainer Taxonomy 2255A2300X · Licence 1033 (AZ)

Record details

NPI number1396162079
Entity typeIndividual (Type 1)
GenderFemale
Credentials AT/L
Sole proprietorYes
NPI enumeratedMarch 19, 2014
Last updated in NPPESMarch 4, 2018

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