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

Leist, Ltd

Organization Clinic/Center · NPI 1710239264

Leist, Ltd is a Clinic/Center in Olney, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

104 N Grant St
Olney, IL 62450-2612
Phone: (618) 395-7246
Fax: (618) 395-7249
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence IL038012269 (IL)

Record details

NPI number1710239264
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derek Leist — President · (314) 954-1885
Other names Performance Chiropractic And Sports Rehab
NPI enumeratedOctober 9, 2012
Last updated in NPPESOctober 9, 2012
Mailing address104 N Grant St, Olney, IL 62450-2612

Other providers in Olney