Doctor Name: | LESLIE LEANN SCALZO |
NPI Number: | 1093921017 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 11-02697 |
Business Practice Address: | 8745 James A Reed Rd Raytown, MO - 641384414 |
Business Phone Number: | 8167611022 |
Business Fax Number: | |
Mailing Address: | 14333 Kelley Rd, KANSAS CITY |
State: | MO |
Postal Code: | 641491255 |
Phone Number: | 8169666225 |
Fax Number: | |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 11-02697 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |