Healthcare Provider Details

I. General information

NPI: 1821918970
Provider Name (Legal Business Name): STEVEN GLENN LESH PT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4636 S 150TH RD
BOLIVAR MO
65613-7329
US

IV. Provider business mailing address

4636 S 150TH RD
BOLIVAR MO
65613-7329
US

V. Phone/Fax

Practice location:
  • Phone: 417-298-9142
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number01923
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: