Mitzy Danae Leeper, LMT, TTT

NPI #1003385337 in Vancouver, Washington

Provider Information

NPI Number: 1003385337
Entity Type: Individual
Name: Mitzy Danae Leeper, LMT, TTT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, TTT
Enumeration Date: Nov 15, 2018
Last Updated: Nov 15, 2018

Practice Location

Address: 613 E MCLOUGHLIN BLVD
City: Vancouver
State: Washington
ZIP Code: 98663-3358
Phone: (360) 772-1740

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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