Provider Demographics
NPI:1265638282
Name:BENE, LESLIE JORDAN (MPT)
Entity Type:Individual
Prefix:MRS
First Name:LESLIE
Middle Name:JORDAN
Last Name:BENE
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:LESLIE
Other - Middle Name:JORDAN
Other - Last Name:STROUPE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8101 E LOWRY BLVD STE 230
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80230-7195
Mailing Address - Country:US
Mailing Address - Phone:303-344-9090
Mailing Address - Fax:303-344-1922
Practice Address - Street 1:8101 E LOWRY BLVD STE 230
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80230
Practice Address - Country:US
Practice Address - Phone:303-344-9090
Practice Address - Fax:303-344-1922
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8738225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist