Ricketts, Leslie L

Ricketts, Leslie L is an individual health care provider with primary practice located at 13157 State Line Rd , Kansas City MO 64145-1650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ricketts, Leslie L can be contacted via phone (816) 941-2550.

Contact Information

Primary practice address
13157 State Line Rd Kansas City MO 64145-1650
Phone: (816) 941-2550
Fax: (816) 941-2520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 11-03406 Kansas
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2004024413 Missouri

Profile Details

NPI number 1295735074
LBN Legal business name Ricketts, Leslie L
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Nov 22nd, 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 1295735074 NPPES
Other 34387 PREFERRED HEALTH PROFESS
Other 34387021 PREFERRED HEALTH PROFESS
Other 2239593 PREFERRED HEALTH PROFESS
Other 2229370 PREFERRED HEALTH PROFESS

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