=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669342077
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | YASMIN LEON
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2025
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 21250 W ROOSEVELT ST STE 106
-----------------------------------------------------
City | BUCKEYE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85326-0313
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 602-648-5444
-----------------------------------------------------
Fax | 602-772-3801
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25795 W GIBSON LN
-----------------------------------------------------
City | BUCKEYE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85326-9172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251X0800X
-----------------------------------------------------
Taxonomy Name | Orthopedic Physical Therapist
-----------------------------------------------------
License Number | LPT-034467
-----------------------------------------------------
License Number State | AZ
-----------------------------------------------------