Provider Demographics
NPI:1891742425
Name:DARLING, LEAH ODELL (PT, LMT, NCTMB)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ODELL
Last Name:DARLING
Suffix:
Gender:F
Credentials:PT, LMT, NCTMB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14300 N NORTHSIGHT BLVD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-3672
Mailing Address - Country:US
Mailing Address - Phone:480-316-4555
Mailing Address - Fax:
Practice Address - Street 1:14300 N NORTHSIGHT BLVD
Practice Address - Street 2:SUITE 102
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-3672
Practice Address - Country:US
Practice Address - Phone:480-316-4555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33010467225700000X
AZMT-13332225700000X
AZ8699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist