Individual provider · Type 1 NPI

Leisa Rhead, MSW GRADUATE STUDENT

Student in an Organized Health Care Education/Training Program · Eagle, ID

NPI number 1720967243 Active

Practice location

1065 E Winding Creek Dr Ste 250
Eagle, ID 83616-7246

Call (208) 805-2324 Map

Mailing address

7925 W Mirror Pond Dr
Boise, ID 83714-2275

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1720967243

Leisa Rhead, MSW GRADUATE STUDENT's National Provider Identifier is 1720967243, issued on Aug 28, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eagle, ID. The record was last updated on Sep 2, 2025.