Andrea Leeds is a Pediatrics in Missoula, Montana. Andrea Leeds practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Andrea Leeds is 1912025206. The last update date is 2022-12-14.
Andrea Leeds's current location address is 3335 Lt Moss Rd, Missoula, Montana. You can contact this provider via phone number 4065496413. The mailing address for Andrea Leeds is 3335 Lt Moss Rd, Missoula, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Leeds |
|---|---|
| Address | 3335 Lt Moss Rd, Missoula, Montana |
| Phone Number | 4065496413 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, DPT, P |
NPI Number Detail
| NPI Number | 1912025206 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2022-12-14 |
Provider Mailing Address Detail
| Address | 3335 Lt Moss Rd |
|---|---|
| City | Missoula |
| State | Montana (MT) |
| Post Code | 598047222 |
| Phone Number | 4065496413 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
| Licence No | PTP-PT-LIC-2 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7018120 | WA | -- | |
| 100002346 | MT | -- |
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What is the unique identifier code issued to Andrea Leeds by the Centers for Medicare & Medicaid Services?
The Andrea Leeds has been assigned the NPI (National Provider Identifier) 1912025206. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Andrea Leeds is physically located?
The Andrea Leeds is physically situated at the following address: 3335 Lt Moss Rd, Missoula, MT, 598047222.
What is Andrea Leeds's area of expertise and its corresponding taxonomy classification?
The Andrea Leeds's field of specialization is Pediatrics, and it falls under the taxonomy code 2251P0200X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1912025206 to Andrea Leeds?
The Centers for Medicare & Medicaid Services assigned the 1912025206 to Andrea Leeds on 2007-03-26.
As of what date were the Andrea Leeds's details last updated?
The information pertaining to the Andrea Leeds, including its address, specialty, and other details, was most recently updated on 2022-12-14.