IndividualActive
Jeffery Leatherman, D.C.
NPI 1679640155 · Sports Physician Chiropractor · Mary Esther, FL
Provider details
- NPI number
- 1679640155
- Entity type
- Individual
- Primary specialty
- Sports Physician ChiropractorChiropractic Providers
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- No
- License
- 8740 (FL)
Specialties & taxonomies
Chiropractic Providers
Practice location
431 E Hollywood Blvd
Mary Esther, FL 32569-2058
Phone: (850) 864-5300
Fax: (850) 864-3900
Approximate (ZIP-level) locationGet directions
Mailing address
431 E Hollywood Blvd
Mary Esther, FL 32569-2058
Registry dates
- Enumerated
- 2006-11-29
- Last updated
- 2014-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.