NPI 1003385337

Mitzy Danae Leeper, LMTTTT

Practitioner Massage Therapist Vancouver, WA

Practice location

Address: 613 E McLoughlin Blvd, Vancouver, WA 98663-3358
Phone: (360) 772-1740
Mailing address: 7812 NE 124th Ave, Vancouver, WA 98682-4146

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA00017300 (WA)

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Registry record

NPI: 1003385337
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Nov 2018
Record last updated: 15 Nov 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.