Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lakeside Physical Therapy and Wellness LLC

Organization Physical Therapist · NPI 1689212136

Lakeside Physical Therapy and Wellness LLC is a Physical Therapist in Conneaut Lake, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12109 Iroquois Rd
Conneaut Lake, PA 16316-3341
Phone: (814) 382-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1689212136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Leonard — Owner · (814) 573-1549
NPI enumeratedDecember 16, 2019
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address12109 Iroquois Rd, Conneaut Lake, PA 16316-3341

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