Provider Demographics
NPI:1871155838
Name:NOLAN, LEYA ALLIND (DPT)
Entity type:Individual
Prefix:
First Name:LEYA
Middle Name:ALLIND
Last Name:NOLAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LEYA
Other - Middle Name:THERESE
Other - Last Name:ALLIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:8958 CLOVERLEAF CIR
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-3957
Mailing Address - Country:US
Mailing Address - Phone:847-312-4067
Mailing Address - Fax:
Practice Address - Street 1:145 INVERNESS DR E STE 300
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-5115
Practice Address - Country:US
Practice Address - Phone:303-695-6060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-30
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0016423225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist