Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEESA D NYSTROM, PT
ActiveLEESA D NYSTROM, PT is a Physical Therapy Assistant healthcare provider located in MEDFORD, Oregon. NPI 1801896535 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MEDFORD, OR
Registration Details
- NPI Number
- 1801896535
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 22, 2005 (21.02082110496 yrs)
- Last Updated
- Jul 8, 2007
- License
-
0775 (OR)
Practice Information
- Address
-
924 S RIVERSIDE AVEMEDFORD, OR, 975017842Browse OR providers · Browse ZIP 97501
- Phone
- 5417737678
- Fax
- 5417735517
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in MEDFORD, OR
| Name | Credential | NPI |
|---|---|---|
| KERRY JOY CARPENTER | PT | 1760482418 |
| KIMBERLY J STEPHENS | PT | 1720088362 |
| JASON E STROCK | — | 1992705537 |
| JUNE M ALTUNEL | PT | 1962402669 |
| MR. STEPHEN BAKSAY | P.T. | 1366442352 |
| MR. BRIAN E. WINKLER | P.T. | 1265432256 |
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.