LEAH RENEE KOMISAK


Address: 818 Laula Way Apt 4, Honolulu, HI 96814-2250
Phone: 8103583817

LEAH RENEE KOMISAK (NPI# 1508481110) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508481110
Entity Type Individual
Full Name LEAH RENEE KOMISAK
Practice Address 818 Laula Way Apt 4
Honolulu
HI 96814-2250
Mailing Address 34315 Mulvey
Fraser
MI 48026-1904
Practice Telephone 8103583817
Mailing Telephone 8103583817
Enumeration Date 2020-06-09
Last Update Date 2020-06-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AT-352 HI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 818 LAULA WAY APT 4
City HONOLULU
State HI
Zip Code 96814-2250

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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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.
Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source]

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Competitor

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City HONOLULU
Zip Code 96814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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