Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LESLIE A DETIENNE
Active Sole ProprietorLESLIE A DETIENNE is a Massage Therapist healthcare provider located in PORTAGE, Indiana. NPI 1760640759 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · PORTAGE, IN
Registration Details
- NPI Number
- 1760640759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 28, 2008 (18.256899925277 yrs)
- Last Updated
- May 28, 2008
- Sole Proprietor
- Yes
Practice Information
- Address
-
5934 US HIGHWAY 6PORTAGE, IN, 463684946Browse IN providers · Browse ZIP 46368
- Phone
- 2197627136
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.