Individual ProviderLeanne SouthPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address5825 Delmonico Dr Ste 100, Colorado Springs, CO 80919-2243(719) 257-4240(404) 429-2604PECOS EnrollmentBased on the most recent information from CMS, provider Leanne South does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:41 AM.Profile DetailsProvider ID1871077974Provider TypeIndividualFull NameSouth, LeanneCredentialPT, DPTGenderFemaleSole ProprietorYesEnumeration Date9/24/2018Last Updated4/23/2024Contact InformationPractice LocationPractice Address5825 Delmonico Dr Ste 100, Colorado Springs, CO 80919-2243Phone(719) 257-4240FaxUnlisted FaxMailing LocationMailing Address2050 Squire Dr, Marietta, GA 30066-6271Phone(404) 429-2604FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT012866GeorgiaCode2081S0010XDescriptionPhysical Medicine & RehabilitationAllopathic & Osteopathic PhysiciansLicenseCP029955TColoradoCode225100000XDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicensePT60887864Washington