Provider Demographics
NPI:1528237310
Name:SCHMIDT, LEANNE NICOLE (MPT)
Entity type:Individual
Prefix:MRS
First Name:LEANNE
Middle Name:NICOLE
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:LEANNE
Other - Middle Name:NICOLE
Other - Last Name:HEMARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:5025 KEYSTONE BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7517
Mailing Address - Country:US
Mailing Address - Phone:504-896-3949
Mailing Address - Fax:504-962-7048
Practice Address - Street 1:5025 KEYSTONE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7517
Practice Address - Country:US
Practice Address - Phone:719-475-0477
Practice Address - Fax:719-475-1021
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-26
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8782225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist