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New Leaf Recreation, LLC — NPI 1003707126, Fort Wayne, IN | NPI Central

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NPI 1003707126

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New Leaf Recreation, LLC

NPI 1003707126 · Recreation Therapist · Fort Wayne, IN

Provider details

NPI number: 1003707126
Entity type: Organization
Primary specialty: Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Organization subpart: No
Authorized official: Taylor Stieb, Co-Owner/Recreational Therapist(419) 509-4697

Specialties & taxonomies

Recreation TherapistPrimary225800000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Behavior Analyst103K00000X
Behavioral Health & Social Service Providers

Practice location

104 E Collins Rd

Fort Wayne, IN 46825-5302

Phone: (260) 267-5425

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

104 E Collins Rd

Fort Wayne, IN 46825-5302

Other names (DBA / former)

Doing business as: New Leaf Specialized Therapies

Registry dates

Enumerated: 2025-07-15
Last updated: 2025-09-09
Certified: 2025-09-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.