Individual
STEVEN D LEIGHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
100897
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20085
PREFERRED HEALTH PROF
—
01
—
20085049
BLUE CROSS BLUE SHIELD KC
—
01
—
205424
PHCS
—
01
—
426923
HEALTHLINK
—
01
—
43181441064155A012
TRICARE
—
01
—
P00388636
MEDICARE RAILROAD
MO
01
—
T66A967A
MEDICARE PART B
MO
Enumeration date
11/15/2006
Last updated
12/03/2007
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