IndividualActive
Jessica Leupold, MBA, ATC, LAT
NPI 1407370406 · Athletic Trainer · Deming, NM
Provider details
- NPI number
- 1407370406
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MBA, ATC, LAT
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Athletic Trainer2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1100 S Nickel St
Deming, NM 88030-6301
Phone: (575) 312-4089
Fax: (575) 544-0918
Approximate (ZIP-level) locationGet directions
Mailing address
3530 Blue Quail Rd Sw
Deming, NM 88030-7727
Registry dates
- Enumerated
- 2017-08-01
- Last updated
- 2017-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.