| New Leaf Recreation, Llc | |
|
104 E Collins Rd Fort Wayne IN 46825-5302 | |
| (260) 267-5425 | |
| Not Available |
| Full Name | New Leaf Recreation, Llc |
|---|---|
| Speciality | Recreation Therapist |
| Location | 104 E Collins Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Taylor Stieb (CO-OWNER/RECREATIONAL THERAPIST) |
| Authorized Official Contact | 4195094697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Recreation, Llc 104 E Collins Rd Fort Wayne IN 46825-5302 Ph: (260) 267-5425 | New Leaf Recreation, Llc 104 E Collins Rd Fort Wayne IN 46825-5302 Ph: (260) 267-5425 |
| NPI Number | 1003707126 |
|---|---|
| Provider Enumeration Date | 07/15/2025 |
| Last Update Date | 09/09/2025 |
| Certification Date | 09/09/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003707126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 225800000X | Recreation Therapist | (* (Not Available)) | Primary |
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