Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA LEUPOLD, MBA, ATC, LAT
Active Sole ProprietorJESSICA LEUPOLD, MBA, ATC, LAT is a Athletic Trainer healthcare provider located in DEMING, New Mexico. NPI 1407370406 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · DEMING, NM
Registration Details
- NPI Number
- 1407370406
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 1, 2017 (8.9962221337026 yrs)
- Last Updated
- Oct 18, 2017
- License
-
730 (NM)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1100 S NICKEL STDEMING, NM, 880306301Browse NM providers · Browse ZIP 88030
- Phone
- 5753124089
- Fax
- 5755440918
- Primary Specialty
-
Athletic Trainer
2255A2300X
- Additional Specialty
- Athletic Trainer
Other Athletic Trainer Providers in DEMING, NM
| Name | Credential | NPI |
|---|---|---|
| LAUREN MARIE DODSON | ATC | 1093104853 |
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.