Provider Demographics
NPI:1174494249
Name:LEDIN, PAIGE DONNA
Entity type:Individual
Prefix:MRS
First Name:PAIGE
Middle Name:DONNA
Last Name:LEDIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2762 CHESTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-2620
Mailing Address - Country:US
Mailing Address - Phone:989-287-2155
Mailing Address - Fax:
Practice Address - Street 1:2762 CHESTERFIELD DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-2620
Practice Address - Country:US
Practice Address - Phone:989-287-2155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-13
Last Update Date:2025-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer