Amy Leitner, LMT

NPI #1104195791 in Bismarck, North Dakota

Provider Information

NPI Number: 1104195791
Entity Type: Individual
Name: Amy Leitner, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Dec 28, 2011
Last Updated: Dec 28, 2011

Practice Location

Address: 1001 GATEWAY AVE
City: Bismarck
State: North Dakota
ZIP Code: 58503-0508
Phone: (701) 214-0204

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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