Provider Demographics
NPI:1821766999
Name:LEISINGER, CHRISTOPHER RYAN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:RYAN
Last Name:LEISINGER
Suffix:
Gender:
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 1:2811 S LOOP 289 STE 14
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79423-1443
Mailing Address - Country:US
Mailing Address - Phone:806-715-2177
Mailing Address - Fax:806-715-3036
Practice Address - Street 1:2811 S LOOP 289 STE 14
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79423-1443
Practice Address - Country:US
Practice Address - Phone:806-715-2177
Practice Address - Fax:254-459-4862
Is Sole Proprietor?:No
Enumeration Date:2021-09-02
Last Update Date:2025-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1352771225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1352771OtherSTATE LICENSE