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Tracy Leithauser, LMT

Massage Therapist in Juneau, AK. Individual provider (NPI-1).

NPI number1851760664
StatusActive
Last updated in NPPESNov 19, 2015

Details

NPI
1851760664
Entity type
Individual (NPI-1)
Name
Tracy Leithauser
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 22, 2015
Last updated
Nov 19, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist101370AKYes

Practice location

418 Harris St
#313
Juneau, AK 99801-1083

Phone 907-830-0609

Mailing address

704 W 11th St
Juneau, AK 99801-1518

Phone 907-830-0609

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