Provider Demographics
NPI:1619990686
Name:PARRISH, LESLEY REDDING (PT)
Entity Type:Individual
Prefix:MRS
First Name:LESLEY
Middle Name:REDDING
Last Name:PARRISH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3226 VETERANS STADIUM DRIVE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081
Mailing Address - Country:US
Mailing Address - Phone:334-670-5955
Mailing Address - Fax:334-670-5958
Practice Address - Street 1:3226 VETERANS STADIUM DRIVE
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081
Practice Address - Country:US
Practice Address - Phone:334-670-5955
Practice Address - Fax:334-670-5958
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2014-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT 6726225100000X
ALPTH6694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist