Provider Demographics
NPI:1073983797
Name:ARTHUR, LEIGHA
Entity Type:Individual
Prefix:
First Name:LEIGHA
Middle Name:
Last Name:ARTHUR
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 1:14120 ST HWY 1
Mailing Address - Street 2:
Mailing Address - City:WEBBVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:41180
Mailing Address - Country:US
Mailing Address - Phone:606-475-1728
Mailing Address - Fax:
Practice Address - Street 1:14120 ST HWY 1
Practice Address - Street 2:
Practice Address - City:WEBBVILLE
Practice Address - State:KY
Practice Address - Zip Code:41180
Practice Address - Country:US
Practice Address - Phone:606-475-1728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-07
Last Update Date:2015-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYA02961225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant