Thomas Spencer Leek JR. LMT

NPI 1235414657 - Massage Therapist - 225700000X

NPI Details
NPI 1235414657
Gender Male
Enumeration Date 10/17/2011
Last Updated 05/27/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
1221 SE MADISON ST
PORTLAND OR, 97214-3890, US
Phone (503) 501-7581
Fax
Business Location
1221 SE MADISON ST
PORTLAND OR, 97214-3890, US
Phone (503) 501-7581
Fax
Toxanomy
Taxonomy Code 225700000X
License State Oregon
License Number 16735
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According to our database, Mr. Thomas Spencer Leek JR. LMT NPI is 1235414657, taxonomy code is 225700000X and license number is 16735, license state is located at Oregon. Thomas Spencer Leek JR. LMT physically located at 1221 Se Madison St, Portland OR, 97214-3890. NPI Number Thomas Spencer Leek JR. LMT has the Individual type.

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1235414657 NPI number is provided on an as is basis without warranty of any kind. 1235414657 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Spencer Leek JR. LMT are for informational purposes only.