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Organization
LEADING EDGE PHYSICAL THERAPY & SPORTS, INC.
Active
Organization
LEADING EDGE PHYSICAL THERAPY & SPORTS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE T RYAN PHYSICAL THERAPIST (OWNER/ PHYSICAL THERAPIST)
(863) 688-1800
Entity
Organization
Contact information
Practice address
801 S FLORIDA AVE STE 5, LAKELAND, FL 33801-5242
(863) 688-1800
(863) 688-1824
Mailing address
801 S FLORIDA AVE STE 5, LAKELAND, FL 33801-5242
(863) 688-1800
(863) 688-1824
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/09/2006
Last updated
10/24/2025
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