Greenleaf Soft Tissue Therapy LLC

NPI #1942897459 in Bangor, Pennsylvania

Provider Information

NPI Number: 1942897459
Entity Type: Organization
Organization Name: Greenleaf Soft Tissue Therapy LLC
Primary Specialty: General Practice
Enumeration Date: Dec 30, 2020
Last Updated: Jul 12, 2021

Practice Location

Address: 32 MARKET ST
City: Bangor
State: Pennsylvania
ZIP Code: 18013-1902
Phone: (610) 452-9021

Authorized Official

Name: MRS. MARISSA SPENCER
Title: OWNER/MANAGER
Phone: (610) 452-9021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X
Massage Therapist	225700000X
General Practice	208D00000X	Primary

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