Provider Demographics
NPI:1750581161
Name:LESCH, DENNIS C (PT, GCS)
Entity type:Individual
Prefix:MR
First Name:DENNIS
Middle Name:C
Last Name:LESCH
Suffix:
Gender:M
Credentials:PT, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 TRAVOIS RD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-1601
Mailing Address - Country:US
Mailing Address - Phone:502-424-7331
Mailing Address - Fax:502-721-9438
Practice Address - Street 1:115 TRAVOIS RD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-1601
Practice Address - Country:US
Practice Address - Phone:502-424-7331
Practice Address - Fax:502-721-9438
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0010772251G0304X
IN05002628A2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics