Provider Demographics
NPI:1730347394
Name:CLEAVER, LAURA S (LPT)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:S
Last Name:CLEAVER
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3B MCDOWELL ST
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4103
Mailing Address - Country:US
Mailing Address - Phone:828-225-1920
Mailing Address - Fax:828-225-1924
Practice Address - Street 1:3B MCDOWELL ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-4103
Practice Address - Country:US
Practice Address - Phone:828-225-1920
Practice Address - Fax:828-225-1924
Is Sole Proprietor?:No
Enumeration Date:2008-05-29
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10839225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist