Whalio Doctors

NPI 1003373564

Brian Tyler Leach

Practitioner Student in an Organized Health Care Education/Training Program Saint Louis, MO

Practice location

Address
6120 Wanda Ave, Saint Louis, MO 63116-2225
Phone
(636) 234-4277

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary
Student, Health Care Taxonomy 390200000X
Athletic Trainer
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X

Registry record

NPI
1003373564
Entity type
Individual
Sex (as registered)
Male
NPI issued
20 Feb 2019
Record last updated
20 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.