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

Leah Jackson

Individual provider Physical Therapist · NPI 1104352673

Leah Jackson is a Physical Therapist in Saint Paul, Minnesota. Licensed in Minnesota and Wyoming. Registered with an NPI since 2017.

Licensed in
MN, WY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

3900 Bethel Dr MSC2376
Saint Paul, MN 55112-6902
Phone: (651) 638-6215
Fax: (651) 635-8676
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 9032 (MN)
Physical Therapist Taxonomy 225100000X · Licence 1447 (WY)

Record details

NPI number1104352673
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 3, 2017
Last updated in NPPESMay 3, 2017

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