Individual
LEANNE SOUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
5825 DELMONICO DR STE 100, COLORADO SPRINGS, CO 80919-2243
(719) 257-4240
Mailing address
2050 SQUIRE DR, MARIETTA, GA 30066-6271
(404) 429-2604
Taxonomy
Speciality
Code
Description
License number
State
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
CP029955T
CO
225100000X
Physical Therapist
Primary
PT012866
GA
225100000X
Physical Therapist
PT60887864
WA
Other
Enumeration date
09/24/2018
Last updated
04/23/2024
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