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NPI Code Detail

MEDICARE: DR. MAKENNA LEIGH LEHRMAN PT, DPT

MEDICARE: DR. MAKENNA LEIGH LEHRMAN PT, 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
1225100000XPhysical Therapist05012592AIN
2225100000XPhysical Therapist13288PTAZ

General Provider Information

NPI Number : 1811414436
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAKENNA LEIGH LEHRMAN PT, DPT
Provider Business Mailing Address
First Line : 3970 W 24TH ST STE 108
Second Line :
City : YUMA
State : AZ
Zip : 85364-9257
Country : US
Telephone Number : 928-783-0555
Fax Number :
Provider Business Practice Location Address
First Line : 3970 W 24TH ST STE 108
Second Line :
City : YUMA
State : AZ
Zip : 85364-9257
Country : US
Telephone Number : 928-783-0555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 07/21/2022

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