Daniel Leake, LMT

NPI #1366830531 in Gresham, Oregon

Provider Information

NPI Number
1366830531
Entity Type
Individual
Name
Daniel Leake, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Dec 22, 2014
Last Updated
Dec 22, 2014

Practice Location

Address
1217 NE BURNSIDE RD STE 701D
State
Oregon
ZIP Code
97030-5770
Phone
(503) 348-4797

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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