Provider Demographics
NPI:1003903279
Name:LEIGHTY, MARGARET ELLEN
Entity Type:Individual
Prefix:MISS
First Name:MARGARET
Middle Name:ELLEN
Last Name:LEIGHTY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6600 RIVER STREAM DR
Mailing Address - Street 2:
Mailing Address - City:HARRISON
Mailing Address - State:TN
Mailing Address - Zip Code:37341-7648
Mailing Address - Country:US
Mailing Address - Phone:423-326-0070
Mailing Address - Fax:
Practice Address - Street 1:2125 NORTHPOINT BLVD.
Practice Address - Street 2:NORTH RIVER PHYSICAL THERAPY
Practice Address - City:HIXSON
Practice Address - State:TN
Practice Address - Zip Code:37343
Practice Address - Country:US
Practice Address - Phone:423-875-3376
Practice Address - Fax:423-875-3451
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist