Provider Demographics
NPI:1720219488
Name:LESHER, JESSICA MICHELE (DPT)
Entity Type:Individual
Prefix:DR
First Name:JESSICA
Middle Name:MICHELE
Last Name:LESHER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 W WARNER RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-1906
Mailing Address - Country:US
Mailing Address - Phone:480-735-0124
Mailing Address - Fax:480-735-0126
Practice Address - Street 1:1221 W WARNER RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-1906
Practice Address - Country:US
Practice Address - Phone:480-735-0124
Practice Address - Fax:480-735-0126
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2009-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8590225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist