Leah Balsamo, MS, LAT, ATC

Individual provider Active NPI Athletic Trainer · West Grove, PA

NPI 1912437641 · NPPES record last updated Mar 24, 2022

Key facts

NPI
1912437641
Entity type
Individual (NPI type 1)
Primary specialty
Athletic Trainer 2255A2300X
Practice address
257 State Rd
West Grove, PA 19390-8956
Phone
(630) 296-2223
NPI assigned
Jun 15, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X Yes

Addresses

Primary practice location

257 State Rd
West Grove, PA 19390-8956

Mailing address

8 Paul Nelms Dr Apt 9
Downingtown, PA 19335-5505
Phone (802) 734-9162

Other providers in West Grove, PA

All providers in West Grove, PA · Athletic Trainer in Pennsylvania

Sources for this page

Verify at the official NPI Registry.