MEDICARE: DR. LESLEY WHYTE TOSER DPT

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	3172	NM

General Provider Information

NPI Number	:	1790862167
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LESLEY WHYTE TOSER DPT

Provider Business Mailing Address
First Line	:	2621 DECKER AVE NW
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87107-2917
Country	:	US
Telephone Number	:	505-306-2228
Fax Number	:	505-717-7504

Provider Business Practice Location Address
First Line	:	2501 RIO GRANDE BLVD NW STE A
Second Line	:
City	:	ALBUQUERQUE
State	:	NM
Zip	:	87104-3233
Country	:	US
Telephone Number	:	505-306-2228
Fax Number	:	505-717-7504

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

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	02/17/2026

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