Healthcare Provider Details

I. General information

NPI: 1760278782
Provider Name (Legal Business Name): LIEPOLD CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2025
Last Update Date: 04/16/2025
Certification Date: 04/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80348 410TH AVE
LAKEFIELD MN
56150-3181
US

IV. Provider business mailing address

80348 410TH AVE
LAKEFIELD MN
56150-3181
US

V. Phone/Fax

Practice location:
  • Phone: 712-330-7943
  • Fax:
Mailing address:
  • Phone: 712-330-7943
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: AMBER ANN LIEPOLD
Title or Position: OWNER
Credential: OTR/L
Phone: 712-330-7943