Individual provider · Type 1 NPI

Brian Tyler Leach

Student in an Organized Health Care Education/Training Program · St. Louis, MO

NPI number 1003373564 Active

Practice location

6120 Wanda Ave
St. Louis, MO 63116-2225

Call (636) 234-4277 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1003373564

Brian Tyler Leach's National Provider Identifier is 1003373564, issued on Feb 20, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in St. Louis, MO. The record was last updated on Feb 20, 2019.