Provider Demographics
NPI:1750107215
Name:DAY, LEAH (PTA)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:370 W ANCHOR DR STE 214
Mailing Address - Street 2:
Mailing Address - City:DAKOTA DUNES
Mailing Address - State:SD
Mailing Address - Zip Code:57049-5153
Mailing Address - Country:US
Mailing Address - Phone:605-422-0226
Mailing Address - Fax:605-422-0226
Practice Address - Street 1:370 W ANCHOR DR STE 214
Practice Address - Street 2:
Practice Address - City:DAKOTA DUNES
Practice Address - State:SD
Practice Address - Zip Code:57049-5153
Practice Address - Country:US
Practice Address - Phone:605-422-0226
Practice Address - Fax:605-422-0226
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NECP033632A225200000X
IA126288225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant