Leach, Jessica Renee

Leach, Jessica Renee is an individual health care provider with primary practice located at 3480 Landers Rd , North Little Rock AR 72117. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Leach, Jessica Renee can be contacted via phone (501) 955-5519.

Contact Information

Primary practice address
3480 Landers Rd North Little Rock AR 72117
Phone: (501) 955-5519
Fax: (501) 955-5529
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 447 Arkansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT3399 Arkansas

Profile Details

NPI number 1518249564
LBN Legal business name Leach, Jessica Renee
Credentials PT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2011
Last updated Jan 11th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518249564 NPPES
Arkansas MEDICAID 213203721

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