MEDICARE: LESLIE MARTIN LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	A160493544	WA

General Provider Information

NPI Number	:	1700304979
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE MARTIN LAT, ATC

Provider Business Mailing Address
First Line	:	4711 N LYONS RD
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99224-8925
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2420 E 29TH AVE STE 100
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99223-4868
Country	:	US
Telephone Number	:	509-724-4320
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2017
Last Update Date	:	09/07/2017

Similar Medicare Providers

1689316796 — TAREYN LYN GOSSLER-GREEN PA
Practice Location Address:

2420 E 29TH AVE STE 100
SPOKANE, WA
99223-4868

Practice Phone: 509-724-4320
Practice Fax:

1548707110 — ROCKWOOD CLINIC PS
Practice Location Address:

2420 E 29TH AVE , SUITE 100
SPOKANE, WA
99223-4868

Practice Phone: 509-724-4320
Practice Fax: 509-838-1478

1689195968 — MR. TROY WAYNE BROWN LAT, ATC
Practice Location Address:

2420 E 29TH AVE STE 100
SPOKANE, WA
99223-4868

Practice Phone: 509-724-4320
Practice Fax:

1801457056 — MULTICARE HEALTH SYSTEM
Practice Location Address:

2420 E 29TH AVE STE 100
SPOKANE, WA
99223-4868

Practice Phone: 509-724-4320
Practice Fax: 509-232-0188

1649490012 — MR. JOHN CHARLES WANTULOK DDS
Practice Location Address:

S 104 FREYA #213A ORANGE FLAG BLDG
SPOKANE, WA
99202-4868

Practice Phone: 509-535-2552
Practice Fax: 509-535-3345

1669751392 — ALANA K BOWMAN MS, NCC, LMHC
Practice Location Address:

104 S FREYA ST STE 114
SPOKANE, WA
99202-4868

Practice Phone: 509-325-4169
Practice Fax: 509-325-4239

Directions to “ LESLIE MARTIN LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.