Leeds, Andrea

Leeds, Andrea is an individual health care provider with primary practice located at 3335 Lt Moss Rd , Missoula MT 59804-7222. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Leeds, Andrea can be contacted via phone (406) 549-6413.

Contact Information

Primary practice address
3335 Lt Moss Rd Missoula MT 59804-7222
Phone: (406) 549-6413
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PT00009521 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PTP-PT-LIC-2287 Montana

Profile Details

NPI number 1912025206
LBN Legal business name Leeds, Andrea
Credentials PT, DPT, PCS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2007
Last updated Dec 14th, 2022 - about 2 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 1912025206 NPPES
Washington MEDICAID 7018120
Washington MEDICAID 100002346

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