Individual
NIKKI LEECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8455 FANNIN ST STE B, HOUSTON, TX 77054-4816
(713) 795-0891
Mailing address
8760 WESTHEIMER RD APT 70, HOUSTON, TX 77063-4237
(713) 435-0339
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2029411
LICENSE #
TX
Enumeration date
08/30/2006
Last updated
07/08/2007
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