Healthcare Provider Details

I. General information

NPI: 1144148669
Provider Name (Legal Business Name): MARGARET T LEONE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32000 NORTHWESTERN HWY STE 180
FARMINGTON HILLS MI
48334-1507
US

IV. Provider business mailing address

33900 HARPER AVE STE 104
CLINTON TWP MI
48035-4258
US

V. Phone/Fax

Practice location:
  • Phone: 248-419-3388
  • Fax: 248-381-8889
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number2601000234
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: