IndividualActive
Brenda Lestock, AT/L
NPI 1396162079 · Physical Medicine & Rehabilitation Physician · Prescott, AZ
Provider details
- NPI number
- 1396162079
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- AT/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1033 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1755 Rustic Timbers Ln Apt 205
Prescott, AZ 86303-6902
Phone: (330) 903-1018
Approximate (ZIP-level) locationGet directions
Mailing address
50 Hillside Ct
Howard, OH 43028-8052
Registry dates
- Enumerated
- 2014-03-19
- Last updated
- 2018-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.