Individual
LEISA RHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW GRADUATE STUDENT
Contact information
Practice address
1065 E WINDING CREEK DR STE 250, EAGLE, ID 83616-7246
(208) 805-2324
Mailing address
7925 W MIRROR POND DR, BOISE, ID 83714-2275
(208) 420-7154
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/28/2025
Last updated
09/02/2025
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