Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leah Tisdale

Individual provider Pediatric Occupational Therapist · NPI 1659845071

Leah Tisdale is a Pediatric Occupational Therapist in Minneapolis, Minnesota. Works from 4 locations. Licensed in Minnesota.

Licensed in
MN
In the registry since
2019
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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3400 W 66th St, Edina, MN 55435-2111 — (952) 914-1965
  • 2945 Hazelwood St Ste 320, Maplewood, MN 55109-1244 — (651) 683-7030
  • 9680 Tamarack Rd, Woodbury, MN 55125-2622 — (651) 265-7575

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 105939 (MN)

Record details

NPI number1659845071
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 18, 2019
Last updated in NPPESMarch 20, 2019
Mailing address2544 Christian Pkwy, Chaska, MN 55318-1986

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