Provider Demographics
NPI:1083848204
Name:LEONARD, CHRISTI L (MA ED)
Entity Type:Individual
Prefix:
First Name:CHRISTI
Middle Name:L
Last Name:LEONARD
Suffix:
Gender:F
Credentials:MA ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 HAYFIELD WAY
Mailing Address - Street 2:
Mailing Address - City:PROSPECT
Mailing Address - State:KY
Mailing Address - Zip Code:40059-9706
Mailing Address - Country:US
Mailing Address - Phone:502-228-0166
Mailing Address - Fax:347-823-3530
Practice Address - Street 1:4001 HAYFIELD WAY
Practice Address - Street 2:
Practice Address - City:PROSPECT
Practice Address - State:KY
Practice Address - Zip Code:40059-9706
Practice Address - Country:US
Practice Address - Phone:502-228-0166
Practice Address - Fax:347-823-3530
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-04
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist