| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ILYA LASHENKO | 1952037996 | 2022-07-30 |
Ilya Lashenko is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1952037996. Registration indicates Ilya Lashenko is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Ilya Lashenko PT, DPT |
| Practice Office Address | 2810 PACES FERRY RD SE STE 132 ATLANTA, GA US |
| Practice Office Telephone | 4705311180 |
| Mailing Address | 2810 PACES FERRY RD SE STE 132 ATLANTA, GA 303395700 US |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | 016009
GA |