NPI 1457590515

Jessica Leal, LMT

Practitioner Specialist Lahaina, HI

Practice location

Address: 180 Dickenson St Suite 205, Lahaina, HI 96761-1215
Phone: (808) 250-1124
Mailing address: 17a Makai Pl, Kula, HI 96790-8518

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 6639 (HI)

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Registry record

NPI: 1457590515
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Feb 2009
Record last updated: 12 Feb 2009

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.