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

Ryan Leisy, DC

Individual provider Chiropractor · NPI 1982741195

Ryan Leisy, DC is a Chiropractic in Ponderay, Idaho. Graduated from Western States College of Chiropractic in 2006, 20 years ago. Practices with Kalispel Indian Community of the Kalispel Reservation Washington, an 11-clinician group. Licensed in Idaho and Washington.

Years since qualifying
20
Trained at
Western States College of Chiropractic
Licensed in
ID, WA
In the registry since
2007
Specialties on file
2
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

30544 Highway 200 Ste 330
Ponderay, ID 83852-5005
Phone: (208) 265-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence CHIA-1250 (ID)
Chiropractor Taxonomy 111N00000X · Licence CH34717 (WA)

Record details

NPI number1982741195
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorNo
NPI enumeratedJanuary 30, 2007
Last updated in NPPESMarch 29, 2018
Mailing addressP.O. Box 26, Kootenai, ID 83840-5055

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolWESTERN STATES COLLEGE OF CHIROPRACTIC
Graduated 2006 (20 years in practice)
Group practice Kalispel Indian Community Of The Kalispel Reservation Washington — 11 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ponderay