NPI 1043772874
Connor Leichtle, LATATC
Practice location
- Address
- 930 Evashevski Dr, Iowa City, IA 52242-1186
- Phone
- (262) 355-6241
- Mailing address
- 603 Cabrini Cir, West Bend, WI 53095-4623
Registered specialties
Athletic Trainer
Primary
Registry record
- NPI
- 1043772874
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 1 Apr 2019
- Record last updated
- 1 Apr 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.