Provider Demographics
NPI:1326793761
Name:LEYRER, JENNIFER A (LMT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:LEYRER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7887 OAKRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:44060-7259
Mailing Address - Country:US
Mailing Address - Phone:440-812-3903
Mailing Address - Fax:
Practice Address - Street 1:27600 CHAGRIN BLVD STE 160
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:OH
Practice Address - Zip Code:44122-4421
Practice Address - Country:US
Practice Address - Phone:216-593-0150
Practice Address - Fax:216-593-0150
Is Sole Proprietor?:No
Enumeration Date:2022-02-15
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.025554225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist