MEDICARE: DR. CHRISTOPHER LESKIW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	33.024306	OH
2	225100000X	Physical Therapist	PT021453	OH

General Provider Information

NPI Number	:	1144799586
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER LESKIW

Provider Business Mailing Address
First Line	:	3656 BLANCHE AVE
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-2212
Country	:	US
Telephone Number	:	440-637-5177
Fax Number	:

Provider Business Practice Location Address
First Line	:	5 SEVERANCE CIR STE 115
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44118-1513
Country	:	US
Telephone Number	:	216-381-0300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/14/2018
Last Update Date	:	11/11/2024

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Directions to “ DR. CHRISTOPHER LESKIW ” Practice Location

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