Provider Demographics
NPI:1558311944
Name:LEONARD, ROBBIE BEASLEY (PT, DPT, CHC)
Entity Type:Individual
Prefix:DR
First Name:ROBBIE
Middle Name:BEASLEY
Last Name:LEONARD
Suffix:
Gender:F
Credentials:PT, DPT, CHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 EAGLE ROCK RD
Mailing Address - Street 2:
Mailing Address - City:LANDRUM
Mailing Address - State:SC
Mailing Address - Zip Code:29356-3401
Mailing Address - Country:US
Mailing Address - Phone:864-325-6234
Mailing Address - Fax:885-185-0088
Practice Address - Street 1:104 EAGLE ROCK RD
Practice Address - Street 2:
Practice Address - City:LANDRUM
Practice Address - State:SC
Practice Address - Zip Code:29356-3401
Practice Address - Country:US
Practice Address - Phone:864-325-6234
Practice Address - Fax:885-185-0088
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3088225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist