Provider Demographics
NPI:1598155731
Name:POSTON, LELAND
Entity Type:Individual
Prefix:
First Name:LELAND
Middle Name:
Last Name:POSTON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:LEE
Other - Middle Name:
Other - Last Name:POSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:610 MARKET ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-5451
Mailing Address - Country:US
Mailing Address - Phone:206-999-7466
Mailing Address - Fax:
Practice Address - Street 1:610 MARKET ST
Practice Address - Street 2:SUITE 202
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-5451
Practice Address - Country:US
Practice Address - Phone:206-999-7466
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-26
Last Update Date:2019-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00002436225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist