Mitzy Danae Leeper, LMT, TTT
Massage Therapist in Vancouver, WA. Individual provider (NPI-1).
NPI number1003385337
StatusActive
Last updated in NPPESNov 15, 2018
Details
- NPI
- 1003385337
- Entity type
- Individual (NPI-1)
- Name
- Mitzy Danae Leeper
- Credential
- LMT, TTT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 15, 2018
- Last updated
- Nov 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA00017300 | WA | Yes |
Practice location
613 E McLoughlin BlvdVancouver, WA 98663-3358
Phone 360-772-1740
Mailing address
7812 Ne 124th AveVancouver, WA 98682-4146
Phone 360-772-1740
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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