Leah Anderson, P.T., D.P.T.

Individual provider Active NPI Orthopedic Physical Therapist · East Grand Forks, MN

NPI 1366083586 · NPPES record last updated Dec 7, 2022

Key facts

NPI
1366083586
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
11520 (MN)
Practice address
607 Demers Ave
East Grand Forks, MN 56721
Phone
(701) 780-2594
NPI assigned
Sep 30, 2019
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

LicenseStateTypeSpecialty
11520MNMDPhysical Therapist
2308NDMDOrthopedic Physical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11520 MN
Physical Therapist 225100000X 2308 ND
Orthopedic Physical Therapist 2251X0800X 2308 ND
Orthopedic Physical Therapist 2251X0800X 11520 MN Yes

Addresses

Primary practice location

607 Demers Ave
East Grand Forks, MN 56721

Mailing address

2401 Demers Ave
Grand Forks, ND 58201
Phone (701) 780-1891

Other names

  • Leah Jensen Former name

Other providers in East Grand Forks, MN

All providers in East Grand Forks, MN · Orthopedic Physical Therapist in Minnesota

Sources for this page

Verify at the official NPI Registry.