Provider Demographics
NPI:1770647125
Name:SCHMITT, LEA HUCKABY (PT,MA)
Entity Type:Individual
Prefix:MRS
First Name:LEA
Middle Name:HUCKABY
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:PT,MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:6397 LEE HWY STE 300
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-4915
Mailing Address - Country:US
Mailing Address - Phone:423-238-8930
Mailing Address - Fax:423-254-5217
Practice Address - Street 1:280 MOUNT ZION RD STE B
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-3222
Practice Address - Country:US
Practice Address - Phone:859-817-0615
Practice Address - Fax:859-817-0827
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY001235225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist