Provider Demographics
NPI:1093963647
Name:CODDINGTON, LEANDA KAY (LPTA)
Entity Type:Individual
Prefix:MS
First Name:LEANDA
Middle Name:KAY
Last Name:CODDINGTON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:MS
Other - First Name:LEANDA
Other - Middle Name:KAY
Other - Last Name:GANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8978 SPIRIT ST
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80549-3015
Mailing Address - Country:US
Mailing Address - Phone:970-226-4872
Mailing Address - Fax:
Practice Address - Street 1:8978 SPIRIT ST
Practice Address - Street 2:
Practice Address - City:WELLINGTON
Practice Address - State:CO
Practice Address - Zip Code:80549-3015
Practice Address - Country:US
Practice Address - Phone:970-226-4872
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-08
Last Update Date:2008-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY529225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant