Provider Demographics
NPI:1952451486
Name:RIO, LEAH L (RPT)
Entity Type:Individual
Prefix:MISS
First Name:LEAH
Middle Name:L
Last Name:RIO
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P O BOX 1226
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:TN
Mailing Address - Zip Code:38378
Mailing Address - Country:US
Mailing Address - Phone:731-925-1082
Mailing Address - Fax:731-925-1818
Practice Address - Street 1:984 WAYNE ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:SAVANNAH
Practice Address - State:TN
Practice Address - Zip Code:38372
Practice Address - Country:US
Practice Address - Phone:731-925-1082
Practice Address - Fax:731-925-1818
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNPT0000003285225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3658078Medicaid
TN3728578Medicare PIN