SearchIdaho225100000X

Brandon Leal, DPT

NPI 1699567743 · on the registry since 2025

Practice

Address
645 E State St Ste 101
Eagle, ID 83616
Phone
(208) 939-9594
Fax
(208) 939-9828
Clinicians at this address
7

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-22

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