Provider Demographics
NPI:1609483148
Name:KIRKMAN, HANNAH LESHIN (PT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LESHIN
Last Name:KIRKMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:RAIZEL
Other - Last Name:LESHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1481 KELLY RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-9572
Mailing Address - Country:US
Mailing Address - Phone:919-296-8180
Mailing Address - Fax:
Practice Address - Street 1:1481 KELLY RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-9572
Practice Address - Country:US
Practice Address - Phone:919-296-8180
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP17391225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist