Doctor Name: | TAYLOR LEIBY |
NPI Number: | 1194191494 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT 43021 |
Business Practice Address: | 1191 Creston Rd Ste 115 Paso Robles, CA - 934463033 |
Business Phone Number: | 8052393696 |
Business Fax Number: | |
Mailing Address: | 1104 Iris St Apt A, SAN LUIS OBISPO |
State: | CA |
Postal Code: | 934014152 |
Phone Number: | 7146422725 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2015 |
NPI Last Update Date: | 09/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 43021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |