Doctor Name: | LEANNE E PARKS |
NPI Number: | 1053592154 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 011967 |
Business Practice Address: | 4140 Centennial Hills Blvd Ste A Casper, WY - 826093265 |
Business Phone Number: | 3072657205 |
Business Fax Number: | 3072356262 |
Mailing Address: | 4140 Centennial Hills Blvd Ste A, CASPER |
State: | WY |
Postal Code: | 826093265 |
Phone Number: | 3072657205 |
Fax Number: | 3072356262 |
NPI Enumeration Date: | 11/16/2007 |
NPI Last Update Date: | 04/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 011967 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |