Richard Leathery II, ATC
Individual provider Active NPI Athletic Trainer · Dover, PA
NPI 1083837124 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1083837124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- RT001447A (PA)
- Practice address
- 46 W Canal St
Dover, PA 17315-1404 - Phone
- (717) 292-3671
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT001447A | PA | MD | Athletic Trainer |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT001447A | PA | Yes |
Addresses
Primary practice location
46 W Canal St
Dover, PA 17315-1404
Mailing address
126 Timber LN
Hanover, PA 17331-9210
Other providers in Dover, PA
- Amanda Lee Kessler
- Lindsay Knapp Keffer
- Charles K Koble
- Hunter H Laret
- Allison Lauer
- Danielle Lefevre
- Lehman Family Chiropractic
- Brian Everett Lehman
- LHM Physical Therapy Institute LLC
- Loretta K. Schmidgall, O.D., PC
All providers in Dover, PA · Athletic Trainer in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.