Provider Demographics
NPI:1053637017
Name:LEIGHTON, TIMEAKI SHARLANA (CRT)
Entity Type:Individual
Prefix:
First Name:TIMEAKI
Middle Name:SHARLANA
Last Name:LEIGHTON
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 414
Mailing Address - Street 2:
Mailing Address - City:VOLGA
Mailing Address - State:SD
Mailing Address - Zip Code:57071-0414
Mailing Address - Country:US
Mailing Address - Phone:605-627-9301
Mailing Address - Fax:
Practice Address - Street 1:105 CASPIAN AVE # 8
Practice Address - Street 2:
Practice Address - City:VOLGA
Practice Address - State:SD
Practice Address - Zip Code:57071-9016
Practice Address - Country:US
Practice Address - Phone:605-627-9301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-15
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0580227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified