MEDICARE: LEAH GASSER PT,

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	13892	OH

General Provider Information

NPI Number	:	1538500277
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEAH GASSER PT,

Provider Business Mailing Address
First Line	:	145 SMOKERISE DR
Second Line	:
City	:	WADSWORTH
State	:	OH
Zip	:	44281-8702
Country	:	US
Telephone Number	:	330-335-4200
Fax Number	:	330-335-7131

Provider Business Practice Location Address
First Line	:	1500 CANTON RD
Second Line	:
City	:	AKRON
State	:	OH
Zip	:	44312-4089
Country	:	US
Telephone Number	:	330-784-1271
Fax Number	:	330-733-2975

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2013
Last Update Date	:	04/01/2020

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Directions to “ LEAH GASSER PT,” Practice Location

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