Ricketts, Leslie L
Ricketts, Leslie L is an individual health care provider with primary practice located at 13157 State Line Rd , Kansas City MO 64145-1650. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Ricketts, Leslie L can be contacted via phone (816) 941-2550.Contact Information
Primary practice address
13157 State Line Rd
Kansas City MO 64145-1650
Phone: (816) 941-2550
Fax: (816) 941-2520
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11-03406 | Kansas |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 2004024413 | Missouri |
Profile Details
| NPI number | 1295735074 |
|---|---|
| LBN Legal business name | Ricketts, Leslie L |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Nov 22nd, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295735074 | NPPES |
| Other | 34387 | PREFERRED HEALTH PROFESS | |
| Other | 34387021 | PREFERRED HEALTH PROFESS | |
| Other | 2239593 | PREFERRED HEALTH PROFESS | |
| Other | 2229370 | PREFERRED HEALTH PROFESS |
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