| Doctor Name: | MICHAEL J LEITZA |
| NPI Number: | 1336185198 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 070011119 |
| Business Practice Address: | 9809 39th Ave Suite 2 Pleasant Prairie, WI - 531583733 |
| Business Phone Number: | 2629255080 |
| Business Fax Number: | 2629255081 |
| Mailing Address: | 600 52nd St, Suite 240 KENOSHA |
| State: | WI |
| Postal Code: | 531403423 |
| Phone Number: | 2629255000 |
| Fax Number: | 2629255001 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 06/04/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 070011119 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| 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 |