Provider Demographics
NPI:1871480624
Name:LESIUK, VERONIKA SHIRLEY RUTH (PT, DPT, MSC)
Entity type:Individual
Prefix:DR
First Name:VERONIKA
Middle Name:SHIRLEY RUTH
Last Name:LESIUK
Suffix:
Gender:F
Credentials:PT, DPT, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4740 PEARL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3080
Mailing Address - Country:US
Mailing Address - Phone:303-449-2730
Mailing Address - Fax:
Practice Address - Street 1:1185 STATE HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80023-1013
Practice Address - Country:US
Practice Address - Phone:303-449-2730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-23
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0019653225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist