Healthcare Provider Details

I. General information

NPI: 1255206058
Provider Name (Legal Business Name): LEAH SCHWEIZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2025
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2780 FREDERICA ST
OWENSBORO KY
42301-5442
US

IV. Provider business mailing address

4899 KENOSHA DR
NEWBURGH IN
47630-9480
US

V. Phone/Fax

Practice location:
  • Phone: 270-926-4100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number302200
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: