Individual
COREY LEACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6911 TOMAHAWK RD, PRAIRIE VILLAGE, KS 66208-2618
(913) 871-6291
(913) 871-7633
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-6250
(630) 575-7450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-07127
KS
225100000X
Physical Therapist
2022039548
MO
Other
Enumeration date
06/01/2022
Last updated
06/05/2025
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