Provider Demographics
NPI:1316414212
Name:LESKE, JOHN AARON II (DPT)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:AARON
Last Name:LESKE
Suffix:II
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3260 RODEO RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59803-9663
Mailing Address - Country:US
Mailing Address - Phone:406-203-2973
Mailing Address - Fax:
Practice Address - Street 1:3260 RODEO RD
Practice Address - Street 2:
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59803-9663
Practice Address - Country:US
Practice Address - Phone:406-203-2973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTPTP-PT-PRV-32491390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT2255A2300XOtherATHLETIC TRAINING