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NPI Code Detail

MEDICARE: JENNIFER LEIGH LEGER MPT,ATC,LAT

MEDICARE:   JENNIFER LEIGH LEGER  MPT,ATC,LAT
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
1225100000XPhysical Therapist06903LA
22255A2300XAthletic TrainerATH.200022LA

General Provider Information

NPI Number : 1225143787
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER LEIGH LEGER MPT,ATC,LAT
Provider Business Mailing Address
First Line : 140 ONYX ST
Second Line :
City : LAFAYETTE
State : LA
Zip : 70506-5753
Country : US
Telephone Number : 337-824-4547
Fax Number : 337-824-4548
Provider Business Practice Location Address
First Line : 2002 JOHNSON ST
Second Line : SUITE 100
City : JENNINGS
State : LA
Zip : 70546-3646
Country : US
Telephone Number : 337-824-4547
Fax Number : 337-824-4548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 09/11/2025

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Directions to “ JENNIFER LEIGH LEGER MPT,ATC,LAT” Practice Location

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