Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEAH REIKO NYSTROM
Active Sole ProprietorLEAH REIKO NYSTROM is a Physical Therapy Assistant healthcare provider located in LA CONNER, Washington. NPI 1477101632 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · LA CONNER, WA
Registration Details
- NPI Number
- 1477101632
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2019 (6.7729255446971 yrs)
- Last Updated
- Aug 30, 2019
- License
-
PT00005426 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
413 MORRIS STLA CONNER, WA, 98257Browse WA providers · Browse ZIP 98257
- Phone
- 3604667458
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in LA CONNER, WA
| Name | Credential | NPI |
|---|---|---|
| HAYLEY RIEGER | DPT | 1093294902 |
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.