Mitzy Danae Leeper
Massage Therapist
613 E Mcloughlin Blvd
Vancouver
, Washington 98663-3358
Mitzy Danae Leeper
Massage Therapist
613 E Mcloughlin Blvd
Vancouver
, Washington 98663-3358
(360) 772-1740
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About
Features
Specialties
- Massage Therapist
Languages spoken
- English
Location
First Address
- Mitzy Danae Leeper
- 7812 Ne 124th Ave
- Vancouver, WA
- Zip : 98682-4146
- Phone : (360) 772-1740
Second Address
- Mitzy Danae Leeper
- 613 E Mcloughlin Blvd
- Vancouver, WA
- Zip : 98663-3358
- Phone : (360) 772-1740
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Is Mitzy Danae Leeper a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA00017300 | WA |
National Provider Identifier
| NPI | 1003385337 |
|---|---|
| Provider Name | Mitzy Danae Leeper |
| First Address | Vancouver, WA 98682-4146 |
| Second Address | Vancouver, WA 98663-3358 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/11/2018 |
| Last Update Date | 15/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.