Provider Demographics
NPI:1285778415
Name:ALMAHDY, LEILA A (ATC)
Entity type:Individual
Prefix:
First Name:LEILA
Middle Name:A
Last Name:ALMAHDY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF COLORADO
Mailing Address - Street 2:ATHLETIC DEPARTMENT UCB368
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80309-0001
Mailing Address - Country:US
Mailing Address - Phone:303-492-7860
Mailing Address - Fax:303-492-4217
Practice Address - Street 1:UNIVERSITY OF COLORADO
Practice Address - Street 2:ATHLETIC DEPARTMENT UCB368
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80309-0001
Practice Address - Country:US
Practice Address - Phone:303-492-7860
Practice Address - Fax:303-492-4217
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2008-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA129502460OtherNATA CERTIFICATION