Provider Demographics
NPI:1437406279
Name:LESHER, DEANA LYNN
Entity Type:Individual
Prefix:MRS
First Name:DEANA
Middle Name:LYNN
Last Name:LESHER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 W 162ND TER
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66085-8238
Mailing Address - Country:US
Mailing Address - Phone:913-257-5808
Mailing Address - Fax:844-270-5788
Practice Address - Street 1:7235 W 162ND TER
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66085-8238
Practice Address - Country:US
Practice Address - Phone:913-257-5808
Practice Address - Fax:844-270-5788
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-10
Last Update Date:2018-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS17-02410225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist