NPI 1205215233

Thomas Robert Leidenthal, CMT

Practitioner Reflexologist Antioch, CA

Practice location

Address: 408 C St, Antioch, CA 94509-1204
Phone: (925) 522-9628

Registered specialties

Reflexologist Primary

Other Service Providers Taxonomy 173C00000X Licence 42960 (CA)

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Registry record

NPI: 1205215233
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 May 2015
Record last updated: 22 May 2015

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.