Whalio Doctors

NPI 1043772874

Connor Leichtle, LATATC

Practitioner Athletic Trainer Iowa City, IA

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
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 087833 (IA)

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.