Provider Demographics
NPI:1538500277
Name:GASSER, LEAH (PT,)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:GASSER
Suffix:
Gender:F
Credentials:PT,
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:GASSER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:145 SMOKERISE DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8702
Mailing Address - Country:US
Mailing Address - Phone:330-335-4200
Mailing Address - Fax:330-335-7131
Practice Address - Street 1:1500 CANTON RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-4089
Practice Address - Country:US
Practice Address - Phone:330-784-1271
Practice Address - Fax:330-733-2975
Is Sole Proprietor?:No
Enumeration Date:2013-07-10
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH13892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist