Individual
KAYLA LEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1560 S CAROL ST, SUITE 150, MERIDIAN, ID 83646-1839
(208) 287-9420
(208) 287-9426
Mailing address
3170 43RD ST S, SUITE 101, FARGO, ND 58104-8908
(701) 277-8448
(701) 277-8668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1937
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT-1937
ND STATE LICENSE
ND
Enumeration date
05/18/2016
Last updated
09/16/2016
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