Provider Demographics
NPI:1457472680
Name:CONNORS, LEILANI M (PT)
Entity Type:Individual
Prefix:
First Name:LEILANI
Middle Name:M
Last Name:CONNORS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 RR 620 S
Mailing Address - Street 2:SUITE B-10
Mailing Address - City:LAKEWAY
Mailing Address - State:TX
Mailing Address - Zip Code:78734-6300
Mailing Address - Country:US
Mailing Address - Phone:512-263-1795
Mailing Address - Fax:512-263-1797
Practice Address - Street 1:1310 RR 620 S
Practice Address - Street 2:SUITE B-10
Practice Address - City:LAKEWAY
Practice Address - State:TX
Practice Address - Zip Code:78734-6300
Practice Address - Country:US
Practice Address - Phone:512-263-1795
Practice Address - Fax:512-263-1797
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2007-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1098481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist