Healthcare Provider Details

I. General information

NPI: 1841647336
Provider Name (Legal Business Name): ANDREW LE DC, DPT, PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2016
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

83 DOWLIN FORGE RD
EXTON PA
19341-1548
US

IV. Provider business mailing address

1534 STOUFF RD
DOWNINGTOWN PA
19335-3557
US

V. Phone/Fax

Practice location:
  • Phone: 999-999-9999
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT029678
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License NumberDC011152
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: