Leah Marie Anderson, PTA
Individual provider Active NPI Physical Therapy Assistant · New Brighton, MN
NPI 1255840369 · NPPES record last updated Sep 21, 2017
Key facts
- NPI
- 1255840369
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- A2194 (MN)
- Practice address
- 825 1St Ave NW
New Brighton, MN 55112-6846 - Phone
- (651) 633-7875
- NPI assigned
- Sep 21, 2017
- 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 |
|---|---|---|---|
| A2194 | MN | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A2194 | MN | Yes |
Addresses
Primary practice location
825 1St Ave NW
New Brighton, MN 55112-6846
Mailing address
1610 Whitetail Run
Buffalo, MN 55313-2292
Phone (320) 237-2947
Other providers in New Brighton, MN
- Courtney M Anderson
- Denika Lynn Anderson
- Jordan Nicholas Anderson
- Jovanna Anderson
- Kimberly Anderson
- Mark Eric Anderson
- Rie Anderson
- Sarah Mae Anikpo
- Kristin Marie Antil
- Apex Care Center LLC
All providers in New Brighton, MN · Physical Therapy Assistant in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2017. 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.