Provider Demographics
NPI:1073663753
Name:LESCHER, GEORGE JOSEPH (PT)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:JOSEPH
Last Name:LESCHER
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:739 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1752
Mailing Address - Country:US
Mailing Address - Phone:541-708-1189
Mailing Address - Fax:855-508-2842
Practice Address - Street 1:370 E HERSEY ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-2361
Practice Address - Country:US
Practice Address - Phone:541-482-6360
Practice Address - Fax:541-488-6801
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR211219Medicaid
OR211219Medicaid