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

Miranda N Leach, PTA

Individual provider Physical Therapy Assistant · NPI 1770185514

Miranda N Leach, PTA is a Physical Therapy Assistant in Green Bay, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

2547 Trojan Dr
Green Bay, WI 54304-1436
Phone: (573) 718-9947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3105-19 (WI)

Record details

NPI number1770185514
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedNovember 16, 2020
Last updated in NPPESNovember 16, 2020
Certification dateOctober 27, 2020

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