Healthcare Provider Details

I. General information

NPI: 1790862167
Provider Name (Legal Business Name): LESLEY WHYTE TOSER DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 RIO GRANDE BLVD NW STE A
ALBUQUERQUE NM
87104-3233
US

IV. Provider business mailing address

2621 DECKER AVE NW
ALBUQUERQUE NM
87107-2917
US

V. Phone/Fax

Practice location:
  • Phone: 505-306-2228
  • Fax: 505-717-7504
Mailing address:
  • Phone: 505-306-2228
  • Fax: 505-717-7504

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number3172
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: