Individual
JESSICA SHANAHAN LEIVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6160 TUTT BLVD STE 240, COLORADO SPRINGS, CO 80923-3502
(719) 596-0880
Mailing address
6160 TUTT BLVD STE 240, COLORADO SPRINGS, CO 80923-3502
(719) 596-0880
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT9710
GA
2251X0800X
Orthopedic Physical Therapist
Primary
16832
CO
Other
Enumeration date
08/07/2009
Last updated
04/07/2020
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