Individual
KRISTIN LEATHERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8038 N 600 W, SUITE 100, MCCORDSVILLE, IN 46055-8604
(317) 615-0053
Mailing address
8038 N 600 W, SUITE 100, MCCORDSVILLE, IN 46055-8604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05009895A
IN
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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