IndividualActive
Leo Sumatra
NPI 1497017578 · Geriatric Physical Therapist · Mount Juliet, TN
Provider details
- NPI number
- 1497017578
- Entity type
- Individual
- Primary specialty
- Geriatric Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT1965 (TN)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
13135 Lebanon Rd
Mount Juliet, TN 37122-2873
Phone: (615) 554-9224
Approximate (ZIP-level) locationGet directions
Mailing address
13135 Lebanon Rd
Mount Juliet, TN 37122-2873
Registry dates
- Enumerated
- 2012-06-13
- Last updated
- 2012-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.