Individual
LEAH GILLESPIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20118
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003186002
PTAN
MA
01
—
20118
PT LICENSE
MA
Enumeration date
09/04/2012
Last updated
03/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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