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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEVIN ALAN LEISEBERG, MS, PT

Active

KEVIN ALAN LEISEBERG, MS, PT is a Physical Therapy Assistant healthcare provider located in MARENGO, Illinois. NPI 1093827685 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MARENGO, IL

Registration Details

NPI Number
1093827685
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.918026096195 yrs)
Last Updated
Apr 21, 2016
License
070-011208 (IL)

Practice Information

Address
300 S STATE ST
MARENGO, IL, 601523532
Browse IL providers · Browse ZIP 60152
Phone
8155684550
Fax
8155685071
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in MARENGO, IL

Name Credential NPI
MS. KELLY HAEFLINGER PT, MHS 1528295573
DR. SAM CHEN D.P.T. 1861772626
DANA CHRISTIANSEN 1124304233
DR. BRENT ANDREW HOLCOMB DPT 1134474687
JORDAN ANDREWS 1457117129
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.