Provider Demographics
NPI:1083597587
Name:WITCHER, LEIGH-ANNE NICOLE (PT, DPT)
Entity type:Individual
Prefix:
First Name:LEIGH-ANNE
Middle Name:NICOLE
Last Name:WITCHER
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:LEIGH-ANNE
Other - Middle Name:NICOLE
Other - Last Name:MCCORMICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6090 PHILPOTT RD
Mailing Address - Street 2:
Mailing Address - City:SOUTH BOSTON
Mailing Address - State:VA
Mailing Address - Zip Code:24592-6630
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:109 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-1238
Practice Address - Country:US
Practice Address - Phone:434-272-0518
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-30
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305217182225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist