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

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