Individual
JAMIE LEISTER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
307 W MAIN ST, KENT, OH 44240-2400
(330) 677-5053
(330) 673-8016
Mailing address
307 W MAIN ST, KENT, OH 44240-2400
(330) 677-5053
(330) 673-8016
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-08302
OH
Other
Enumeration date
01/17/2006
Last updated
07/08/2007
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