Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Leist, Ltd

Organization Clinic/Center · NPI 1710239264

Leist, Ltd provides Clinic/Center services 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.

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Practice location Address checks out

104 N Grant St
Olney, IL 62450-2612 Not confirmed with CMS for 14 years — call before visiting
Phone: (618) 395-7246
Fax: (618) 395-7249
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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

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