Provider Demographics
NPI:1891062147
Name:PARKHURST, LEAH
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:PARKHURST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:HASKELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8523 WARTHEN MEADOWS ST
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1984
Mailing Address - Country:US
Mailing Address - Phone:609-923-1201
Mailing Address - Fax:
Practice Address - Street 1:8523 WARTHEN MEADOWS ST
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-1984
Practice Address - Country:US
Practice Address - Phone:609-923-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2011-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner