MEDICARE: LEIGH KISSINGER

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	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1467124008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEIGH KISSINGER

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2225 E CENTENNIAL PKWY STE 106
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89081-5602
Country	:	US
Telephone Number	:	702-936-7165
Fax Number	:

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

Provider Enumeration Date	:	10/01/2021
Last Update Date	:	06/30/2025

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Directions to “ LEIGH KISSINGER ” Practice Location

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