Provider Demographics
NPI:1326276429
Name:SHEETZ, LEAH (DPT)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:
Last Name:SHEETZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6998 CRIDER RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:MARS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-2390
Mailing Address - Country:US
Mailing Address - Phone:724-778-3311
Mailing Address - Fax:724-778-3313
Practice Address - Street 1:324 WAMPUM AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1213
Practice Address - Country:US
Practice Address - Phone:724-758-6888
Practice Address - Fax:724-758-6880
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY031514-1225100000X
PAPT020773225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist