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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LEAH RENEE KOMISAK

Active

LEAH RENEE KOMISAK is a Athletic Trainer healthcare provider located in NELLIS AFB, Nevada. NPI 1508481110 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NELLIS AFB, NV

Registration Details

NPI Number
1508481110
Provider Type
Individual
Gender
Female
NPI Issued
Jun 9, 2020 (6.1440282565673 yrs)
Last Updated
Sep 16, 2024
Licenses
AT-352 (HI)
1457 (NH)
AT0506770 (NV)

Practice Information

Address
4269 TYNDALL AVE BLDG 282
NELLIS AFB, NV, 891916074
Browse NV providers · Browse ZIP 89191
Phone
8103583817
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in NELLIS AFB, NV

Name Credential NPI
ALIA WARE MS LAT ATC CES FMS 1174908412
JESSICA L THOMSON MS, LAT, ATC 1275031932
MICHELLE SCHNEIDER ATC 1346853850
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.