Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lakeside Physical Therapy and Wellness LLC

Organization Physical Therapist · NPI 1689212136

Lakeside Physical Therapy and Wellness LLC provides Physical Therapist services in Conneaut Lake, Pennsylvania. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

12109 Iroquois Rd
Conneaut Lake, PA 16316-3341
Phone: (814) 382-9405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1689212136
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Leonard — Owner · (814) 573-1549
NPI enumeratedDecember 16, 2019
Last updated in NPPESDecember 16, 2019
Certification dateDecember 16, 2019
Mailing address12109 Iroquois Rd, Conneaut Lake, PA 16316-3341

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