Leslie L Ricketts in Leawood - Physical Therapist

Leslie L Ricketts - NPI 1295735074

Leslie L Ricketts is a Physical Therapist in Leawood, Kansas. Leslie L Ricketts practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Leslie L Ricketts is 1295735074. The last update date is 2019-11-22.

Leslie L Ricketts's current location address is 12728 State Line Rd, Leawood, Kansas. You can contact this provider via phone number 8169412550 and fax number 8169412520. The mailing address for Leslie L Ricketts is 12728 State Line Rd, Leawood, Kansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie L Ricketts
Address 12728 State Line Rd, Leawood, Kansas
Phone Number 8169412550
Fax Number 8169412520
Sole Proprietor N
Credentials M.P.T.

NPI Number Detail

NPI Number 1295735074
Provider Enumeration Date 2005-07-22
Last Updated Date 2019-11-22

Provider Mailing Address Detail

Address 12728 State Line Rd
City Leawood
State Kansas (KS)
Post Code 66209
Phone Number 8169412550
Fax Number 8169412520

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 11-03406
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34387 PREFERRED HEALTH PROFESS
34387021 MO BLUE CROSS BLUE SHIELD KC
2239593 FIRST HEALTH
2229370 CCN NETWORK

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FAQs about Leslie L Ricketts

What is the Leslie L Ricketts's 1295735074?

The Leslie L Ricketts's NPI (National Provider Identifier) Number is 1295735074. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Leslie L Ricketts?

The Leslie L Ricketts is physically situated at 12728 State Line Rd, in the city of Leawood, state of KS, with the postal code 66209.

What is Leslie L Ricketts's specialized field of practice, and what is the corresponding taxonomy classification code?

The Leslie L Ricketts's area of specialization is Physical Therapist, and the corresponding taxonomy code that categorizes this field of practice is 225100000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295735074 to Leslie L Ricketts?

The Centers for Medicare & Medicaid Services assigned the 1295735074 to Leslie L Ricketts on 2005-07-22.

When was the information pertaining to Leslie L Ricketts most recently updated or revised?

The details related to Leslie L Ricketts, including its address, specialty, and other relevant information, were last updated or revised on 2019-11-22.

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