Leah Reiko Nystrom, is a
Physical Therapist based in La Conner, Washington. Leah Reiko Nystrom is licensed to practice in Washington (license number PT00005426) and her current practice location is
413 Morris St, La Conner, Washington. She can be reached at her office (for appointments etc.) via phone at
(360) 466-7458.
NPI number for Leah Reiko Nystrom is 1477101632 and her current mailing address is 11106 Whistle Lake Rd, Anacortes, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477101632.
Healthcare Provider's Profile
Full Name | Leah Reiko Nystrom |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 413 Morris St, La Conner, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477101632
- Provider Enumeration Date: 08/30/2019
- Last Update Date: 08/30/2019
Medical Identifiers
Medical identifiers for Leah Reiko Nystrom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477101632 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT00005426 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leah Reiko Nystrom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Leah Reiko Nystrom, 11106 Whistle Lake Rd, Anacortes, WA 98221-4388 Ph: (360) 293-5735 | Leah Reiko Nystrom, 413 Morris St, La Conner, WA 98257 Ph: (360) 466-7458 |
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