Leo Shane Sanchez, PTA
Individual provider Active NPI Physical Therapy Assistant · Cheyenne, WY
NPI 1982121752 · NPPES record last updated Aug 23, 2017
Key facts
- NPI
- 1982121752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 0841 (WY)
- Practice address
- 820 Sun Valley Dr
Cheyenne, WY 82001-6850 - Phone
- (307) 477-0176
- NPI assigned
- Aug 23, 2017
- Sex
- Male
- 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 |
|---|---|---|---|
| 0841 | WY | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0841 | WY | Yes |
Addresses
Primary practice location
820 Sun Valley Dr
Cheyenne, WY 82001-6850
Mailing address
820 Sun Valley Dr
Cheyenne, WY 82001-6850
Other providers in Cheyenne, WY
- Anagabrielle Sanchez
- Brandi Sanchez
- Jason Sanchez
- Justin M Sanchez
- Kristin Sanchez
- Loree D Sanchez
- Susan Emillia Sanchez
- Penny Marie Sanderson
- Stanley M Sandick
- Daffney Lauren Sandoval
All providers in Cheyenne, 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 Aug 23, 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.