Individual
LEAH MARIE FISCHER BAETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
Mailing address
13010 EASTGATE PARK WAY STE 101, LOUISVILLE, KY 40223-3984
(502) 244-1210
(502) 244-1214
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
007524
KY
225100000X
Physical Therapist
2016027248
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100567310
—
KY
Enumeration date
08/18/2016
Last updated
09/19/2022
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