LEAH RENEE KOMISAK NPI 1508481110

NPI Information

  • NPI: 1508481110
  • Provider Name: LEAH RENEE KOMISAK
  • Classification: Specialist/Technologist - 2255A2300X
  • Specialization: Athletic Trainer
  • Entity Type: Individual
  • Address: 4269 TYNDALL AVE BLDG 282
    NELLIS AFB, NV
    ZIP 89191
  • Phone: (810) 358-3817

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NPI Details

Leah Renee Komisak is an athletic trainer specialist technologist in Nellis Afb, NV. The provider is athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. Leah Renee Komisak NPI is 1508481110. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4269 TYNDALL AVE BLDG 282
NELLIS AFB, NV
ZIP 89191-074
Phone: (810) 358-3817

The enumeration date for this NPI number is 6/9/2020 and was last updated on 9/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerAT-352HAWAIINo
22255A2300XSpecialist/TechnologistAthletic Trainer1457NEW HAMPSHIRENo
32255A2300XSpecialist/TechnologistAthletic TrainerAT0506770NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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