Healthcare Provider Details

I. General information

NPI: 1013832732
Provider Name (Legal Business Name): LEAH SWEENEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/11/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 E MARTINTOWN RD
NORTH AUGUSTA SC
29841-3427
US

IV. Provider business mailing address

210 E MARTINTOWN RD
NORTH AUGUSTA SC
29841-3427
US

V. Phone/Fax

Practice location:
  • Phone: 803-613-6099
  • Fax: 803-599-8267
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: