Provider Demographics
NPI:1285131623
Name:FLANAGAN, LEEYA
Entity type:Individual
Prefix:
First Name:LEEYA
Middle Name:
Last Name:FLANAGAN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:LEEYA
Other - Middle Name:
Other - Last Name:SCHULZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2001 BUTTERFIELD RD STE 1600
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-1211
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8945 W POST RD STE 200
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89148-2430
Practice Address - Country:US
Practice Address - Phone:702-251-7147
Practice Address - Fax:702-251-7151
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist