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Logan Brian Leslie

Massage Therapist in Hampstead, NC. Individual provider (NPI-1).

NPI number1104740646
StatusActive
Last updated in NPPESAug 6, 2026

Details

NPI
1104740646
Entity type
Individual (NPI-1)
Name
Logan Brian Leslie
Sex
Male
Sole proprietor
No
Enumeration date
Aug 6, 2026
Certification date
Aug 6, 2026
Last updated
Aug 6, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist22721NCYes

Practice location

18676 Us Highway 17
Hampstead, NC 28443-3227

Phone 910-821-1700

Mailing address

18676 Us Highway 17
Hampstead, NC 28443-3227

Phone 910-821-1700

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