National Provider Identifier

Mekenna Leid

Mekenna Leid is listed in the NPPES registry with a primary specialty of Physical Therapist in Jamestown, NY and a listed phone number of (716) 664-8505.

NPI 1134948847Jamestown, NYPhysical Therapist

Profile Overview

NPI
1134948847
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 09, 2024
Last Updated
October 09, 2024

Practice Location

  • 31 Sherman St
  • Jamestown, NY 14701-7079

Phone: (716) 664-8505

Mailing Address

  • 532 Eccles RD
  • Kennedy, NY 14747-9525

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1134948847
Entity Type
Individual
Last Name
Leid
First Name
Mekenna
Mailing Street Address
532 Eccles RD
Mailing City
Kennedy
Mailing State
NY
Mailing ZIP Code
14747-9525
Mailing Country
US
Mailing Phone
(716) 785-7777
Practice Street Address
31 Sherman St
Practice City
Jamestown
Practice State
NY
Practice ZIP Code
14701-7079
Practice Country
US
Practice Phone
(716) 664-8505
Enumeration Date
October 09, 2024
Last Updated
October 09, 2024
Sex
Female
Sole Proprietor
No
Certification Date
October 09, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)