Leigh Vantassel, PTA
Individual provider Active NPI Physical Therapy Assistant · Casper, WY
NPI 1124144191 · NPPES record last updated Dec 7, 2010
Key facts
- NPI
- 1124144191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA-398 (WY)
- Practice address
- 6631 E 2ND St
Casper, WY 82609-4355 - Phone
- (307) 268-9904
- Fax
- (307) 268-9907
- NPI assigned
- Mar 22, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA-398 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA-398 | WY | Yes |
Addresses
Primary practice location
6631 E 2ND St
Casper, WY 82609-4355
Mailing address
6631 E 2ND St
Casper, WY 82609-4355
Phone (307) 268-9904
Other providers in Casper, WY
- Tamiko L Ushio
- Usrc Casper, LLC
- Michael T Utt
- Noelle Vandamme
- Keli Vann
- Riley Nicole Vasquez
- Amanda Vazquez Garcia
- Brian Michael Veauthier
- Brandon Vega
- Mercedez Velasquez
All providers in Casper, WY · Physical Therapy Assistant in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.