Provider Demographics
NPI:1669721056
Name:SPAULDING, LESLYN H (PT, DPT)
Entity type:Individual
Prefix:
First Name:LESLYN
Middle Name:H
Last Name:SPAULDING
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 CLUBHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-7840
Mailing Address - Country:US
Mailing Address - Phone:859-229-5101
Mailing Address - Fax:859-499-3257
Practice Address - Street 1:3041 OWINGSVILLE RD
Practice Address - Street 2:
Practice Address - City:MT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-9003
Practice Address - Country:US
Practice Address - Phone:859-497-2924
Practice Address - Fax:859-497-2926
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2020-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY002437225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist