Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MYLIE BROOKE LEATHERMAN, LAT, ATC
Active Sole ProprietorMYLIE BROOKE LEATHERMAN, LAT, ATC is a Athletic Trainer healthcare provider located in KISSIMMEE, Florida. NPI 1093254088 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · KISSIMMEE, FL
Registration Details
- NPI Number
- 1093254088
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2017 (9.4780250608636 yrs)
- Last Updated
- Feb 23, 2017
- License
-
AL4771 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 S VICTORY WAYKISSIMMEE, FL, 34747Browse FL providers · Browse ZIP 34747
- Phone
- 4075415600
- Primary Specialty
-
Athletic Trainer
2255A2300X
Other Athletic Trainer Providers in KISSIMMEE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. DREW J VAN DAM JR. | ATC | 1982677290 |
| MR. HAROLD LENARD HENDERSON | ATC/LAT | 1356361422 |
| FELIPPE SOUZA ALMEIDA | ATC, LAT | 1851432108 |
| CASSANDRA ANN BOWERS | ATC, LAT | 1306987680 |
| MR. ERIC EDWIN MALEK | ATC, LAT | 1457563538 |
| LAURA MASSEY | MHA, LAT, ATC | 1316179203 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.