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Individual
MR. MARK STEPHEN LEYHE
Active
Individual
MR. MARK STEPHEN LEYHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11-05958
KS
225100000X
Physical Therapist
2019016461
MO
225100000X
Physical Therapist
Primary
P20329
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0397730041
NSC #
NC
Enumeration date
06/01/2018
Last updated
04/05/2021
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