| Andi Michelle Leitner, | |
|
501 N 14th St, Perry, OK 73077-5021 | |
| (580) 336-3541 | |
| (580) 336-9425 |
| Full Name | Andi Michelle Leitner |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 501 N 14th St, Perry, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477762581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Advanced Pt Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1780616789 PECOS PAC ID: 3678524709 Enrollment ID: O20060222000723 |
| Mailing Address | Practice Location Address |
|---|---|
| Andi Michelle Leitner, 501 N 14th St, Perry, OK 73077-5021 Ph: () - | Andi Michelle Leitner, 501 N 14th St, Perry, OK 73077-5021 Ph: (580) 336-3541 |
Elizabeth G Armstrong, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 N 14th St, Perry, OK 73077 Phone: 580-336-3201 | |
Amy Beth Roberts, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 501 N 14th St, Perry, OK 73077 Phone: 405-580-3362 | |
Angela Dawn Brand, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 501 14th St N, Perry, OK 73077 Phone: 580-336-2176 Fax: 580-336-9425 |