Provider Demographics
NPI:1427406735
Name:IGNATH, LEAH (LPTA)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:
Last Name:IGNATH
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:LEAH
Other - Middle Name:
Other - Last Name:SAMANIEGO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPTA
Mailing Address - Street 1:1753 25TH ST
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-1013
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:402 GOLFVIEW LN
Practice Address - Street 2:
Practice Address - City:HIGHLAND HTS
Practice Address - State:OH
Practice Address - Zip Code:44143-4414
Practice Address - Country:US
Practice Address - Phone:216-543-8127
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-26
Last Update Date:2016-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH08485225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant