Healthcare Provider Details

I. General information

NPI: 1467381947
Provider Name (Legal Business Name): SYDNEY LEATHERMAN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 COLUMBIA AVE E
BATTLE CREEK MI
49014-5456
US

IV. Provider business mailing address

5159 E PARADISE RD
BATTLE CREEK MI
49014-8333
US

V. Phone/Fax

Practice location:
  • Phone: 269-979-2566
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number16806
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2301401681
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: