Leah Lackas, OTR/L
Individual provider Active NPI Occupational Therapist · Annandale, MN
NPI 1154740181 · NPPES record last updated Apr 7, 2014
Key facts
- NPI
- 1154740181
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 104646 (MN)
- Practice address
- 500 Park St E
Annandale, MN 55302-3060 - Phone
- (320) 274-3737
- NPI assigned
- Apr 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104646 | MN | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 104646 | MN | Yes |
Addresses
Primary practice location
500 Park St E
Annandale, MN 55302-3060
Mailing address
500 Park St E
Annandale, MN 55302-3060
Other providers in Annandale, MN
- Katherine Marie Kalliomaa
- Bruce Robert Karg
- Ann Kent
- Charles David Kent
- Jessica Lea Kirchoff
- Brooke Lange
- Anthony Lesch
- Steven Lochen
- Rachel E Loften
- Katie Ann Madsen
All providers in Annandale, MN · Occupational Therapist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 7, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.