Healthcare Provider Details
I. General information
NPI: 1861281008
Provider Name (Legal Business Name): VALLEY SLEEP THERAPY INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3777 CROSSINGS DR STE A
PRESCOTT AZ
86305-7121
US
IV. Provider business mailing address
PO BOX 30388
MESA AZ
85275-0388
US
V. Phone/Fax
- Phone: 480-361-0124
- Fax: 480-265-8997
- Phone: 480-361-0124
- Fax: 480-265-8997
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332BC3200X |
| Taxonomy | Customized Equipment (DME) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAURI
LEADLEY
Title or Position: CEO & PRESIDENT
Credential:
Phone: 480-361-0124