Provider Demographics
NPI:1972520062
Name:MCLEESE, ZACHARY ROBERT (ATC)
Entity Type:Individual
Prefix:MR
First Name:ZACHARY
Middle Name:ROBERT
Last Name:MCLEESE
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Gender:M
Credentials:ATC
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Mailing Address - Street 1:LOYD ALL SPORTS CENTER ATHLETIC TRAINING RM
Mailing Address - Street 2:5800 OWNBY DR
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75275-0001
Mailing Address - Country:US
Mailing Address - Phone:214-768-1926
Mailing Address - Fax:214-768-1225
Practice Address - Street 1:LOYD ALL SPORTS CENTER ATHLETIC TRAINING RM
Practice Address - Street 2:5800 OWNBY DR
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75275-0001
Practice Address - Country:US
Practice Address - Phone:214-768-1926
Practice Address - Fax:214-768-1225
Is Sole Proprietor?:No
Enumeration Date:2006-07-16
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXAT24022255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer