Basic Information
Provider Information
NPI: 1134558117
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CASH
FirstName: LEIGH
MiddleName: KATHERINE
NamePrefix:  
NameSuffix:  
Credential: PT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: CASH
OtherFirstName: KATIE
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: PT
OtherLastNameType: 5
Mailing Information
Address1: 4234 WHITMAN ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770276338
CountryCode: US
TelephoneNumber: 7138237401
FaxNumber:  
Practice Location
Address1: 4141 SOUTHWEST FWY STE 100
Address2:  
City: HOUSTON
State: TX
PostalCode: 770277330
CountryCode: US
TelephoneNumber: 7132231800
FaxNumber: 7132231801
Other Information
ProviderEnumerationDate: 11/11/2013
LastUpdateDate: 11/11/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X1236960TXY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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