Provider Demographics
NPI:1225926041
Name:RAST, LEAH D
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:D
Last Name:RAST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:82645 540 AVE
Mailing Address - Street 2:
Mailing Address - City:NEWMAN GROVE
Mailing Address - State:NE
Mailing Address - Zip Code:68758-5534
Mailing Address - Country:US
Mailing Address - Phone:402-860-1470
Mailing Address - Fax:
Practice Address - Street 1:82645 540 AVE
Practice Address - Street 2:
Practice Address - City:NEWMAN GROVE
Practice Address - State:NE
Practice Address - Zip Code:68758-5534
Practice Address - Country:US
Practice Address - Phone:402-860-1470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-27
Last Update Date:2025-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion