NPI 1609385129

Leigh Ann Moulton

Practitioner Massage Therapist Belmont, MI

Practice location

Address: 6290 Jupiter Drive Suite C, Belmont, MI 49306
Phone: (616) 813-1521
Mailing address: 5523 Division Ave N, Comstock Park, MI 49321-8214

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 7501008684 (MI)

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Registry record

NPI: 1609385129
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Sep 2017
Record last updated: 16 Jun 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.