Provider Demographics
NPI:1326356288
Name:STRAUB, LESHEA ANN (LPTA)
Entity Type:Individual
Prefix:
First Name:LESHEA
Middle Name:ANN
Last Name:STRAUB
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:LESHEA
Other - Middle Name:ANN
Other - Last Name:SELBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPTA
Mailing Address - Street 1:81 RIVERWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:WEST FORK
Mailing Address - State:AR
Mailing Address - Zip Code:72774-2937
Mailing Address - Country:US
Mailing Address - Phone:479-409-6376
Mailing Address - Fax:
Practice Address - Street 1:1112 S 48TH ST
Practice Address - Street 2:SUITE B
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72762-5848
Practice Address - Country:US
Practice Address - Phone:479-751-3900
Practice Address - Fax:479-751-3011
Is Sole Proprietor?:No
Enumeration Date:2010-09-14
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2459225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant