Provider Demographics
NPI:1508343351
Name:BICKING, LEAH LAMBERT (DPT, PT)
Entity Type:Individual
Prefix:DR
First Name:LEAH
Middle Name:LAMBERT
Last Name:BICKING
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3534 JESSIE CT
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-3840
Mailing Address - Country:US
Mailing Address - Phone:651-587-2358
Mailing Address - Fax:
Practice Address - Street 1:3534 JESSIE CT
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-3840
Practice Address - Country:US
Practice Address - Phone:651-587-2358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-24
Last Update Date:2018-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN11182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN11182OtherMINNESOTA PHYSICAL THERAPY LICENSE