Provider Demographics
NPI:1992352314
Name:TANNLER, LEIGH ANN NORRIS (DPT)
Entity type:Individual
Prefix:
First Name:LEIGH
Middle Name:ANN NORRIS
Last Name:TANNLER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1006 BARRISTERS CT
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5169
Mailing Address - Country:US
Mailing Address - Phone:423-580-4870
Mailing Address - Fax:
Practice Address - Street 1:1006 BARRISTERS CT
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-5169
Practice Address - Country:US
Practice Address - Phone:423-580-4870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-20
Last Update Date:2023-07-13
Deactivation Date:2020-06-25
Deactivation Code:
Reactivation Date:2023-07-13
Provider Licenses
StateLicense IDTaxonomies
PT225100000X
ALPTH8394225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist