Individual
ISAAC LEITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
5575 N HARBOR AVE, SUITE 103, FREELAND, WA 98249
(360) 331-0141
(360) 331-0142
Mailing address
3800 E HARBOR RD, LANGLEY, WA 98260-9663
(425) 281-1280
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2329
AK
225100000X
Physical Therapist
3963
NM
225100000X
Physical Therapist
Primary
60093533
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2006236
—
WA
Enumeration date
06/30/2009
Last updated
05/03/2016
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