Provider Demographics
NPI:1659967354
Name:LIEVENS, EMILY
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:LIEVENS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8455 HERITAGE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1356
Mailing Address - Country:US
Mailing Address - Phone:513-503-8344
Mailing Address - Fax:
Practice Address - Street 1:654 BROOKSEDGE BLVD
Practice Address - Street 2:ATTN: EMPOWER PHYSIO AND WELLNESS
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2962
Practice Address - Country:US
Practice Address - Phone:614-423-9731
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-16
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT020602225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist