Individual
MR. RODNEY KENT LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
4860 HICKORY CREEK RD, LENOIR CITY, TN 37771-6964
(865) 816-3288
Mailing address
4860 HICKORY CREEK RD, LENOIR CITY, TN 37771-6964
(865) 816-3288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000005515
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
618032600
OFFICE OF WORKERS' COMPENSATION PROGRAMS (OWCP) (DEEOIC)
TN
Enumeration date
01/18/2015
Last updated
01/18/2015
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