Doctor Name: | LEISHA M BERRY |
NPI Number: | 1811913361 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 59083352401 |
Business Practice Address: | 841 S Saginaw Rd Midland, MI - 486404664 |
Business Phone Number: | 8666253570 |
Business Fax Number: | 8662458064 |
Mailing Address: | Po Box 3497, STURTEVANT |
State: | WI |
Postal Code: | 531770300 |
Phone Number: | 8775522996 |
Fax Number: | 8662458064 |
NPI Enumeration Date: | 07/15/2006 |
NPI Last Update Date: | 10/25/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 59083352401 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | UT |
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 |