Provider Demographics
NPI:1447953211
Name:LEIBEE, TED JACOB (RRT)
Entity type:Individual
Prefix:MR
First Name:TED
Middle Name:JACOB
Last Name:LEIBEE
Suffix:
Gender:M
Credentials:RRT
Other - Prefix:
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Mailing Address - Street 1:PO BOX 492
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:KY
Mailing Address - Zip Code:41171-0492
Mailing Address - Country:US
Mailing Address - Phone:606-738-4041
Mailing Address - Fax:606-738-4030
Practice Address - Street 1:1410 EAGLE DR
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:KY
Practice Address - Zip Code:41102-9623
Practice Address - Country:US
Practice Address - Phone:606-928-1001
Practice Address - Fax:606-928-1008
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY4068227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered