Search › Idaho › 171M00000X
Tyler Leenknecht
NPI 1366210163 · on the registry since 2023
Practice
- Address
- 1407 W. Mcmillan Road
Suite 120
Meridian, ID 83646 - Phone
- (208) 315-6717
- Fax
- (208) 315-6718
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-12-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho