Provider Demographics
NPI:1053761817
Name:LEFFLER, ERYN F (DPT)
Entity type:Individual
Prefix:
First Name:ERYN
Middle Name:F
Last Name:LEFFLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:ERYN
Other - Middle Name:F
Other - Last Name:OLESINSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3106 S W S YOUNG DR
Mailing Address - Street 2:SUITE A-102
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2000
Mailing Address - Country:US
Mailing Address - Phone:254-628-8391
Mailing Address - Fax:254-628-7821
Practice Address - Street 1:3106 S W S YOUNG DR
Practice Address - Street 2:SUITE A-102
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2000
Practice Address - Country:US
Practice Address - Phone:254-628-8391
Practice Address - Fax:254-628-7821
Is Sole Proprietor?:No
Enumeration Date:2016-06-13
Last Update Date:2016-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1275380225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist