Provider Demographics
NPI:1629326558
Name:HEARD, LEIGH CUMMINGS (PT)
Entity Type:Individual
Prefix:MS
First Name:LEIGH
Middle Name:CUMMINGS
Last Name:HEARD
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:LEIGH
Other - Middle Name:CUMMINGS
Other - Last Name:FORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 60307
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77205-0307
Mailing Address - Country:US
Mailing Address - Phone:281-553-6110
Mailing Address - Fax:281-553-1733
Practice Address - Street 1:3500 N TERMINAL RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-5573
Practice Address - Country:US
Practice Address - Phone:281-553-6110
Practice Address - Fax:281-553-1733
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1026110225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist