Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLYDE LEIGH II, MT
Active Sole ProprietorCLYDE LEIGH II, MT is a Massage Therapist healthcare provider located in GRAND RAPIDS, Michigan. NPI 1790141364 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · GRAND RAPIDS, MI
Registration Details
- NPI Number
- 1790141364
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 12, 2016 (10.54476973154 yrs)
- Last Updated
- Jan 12, 2016
- License
-
7501003119 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
890 3 MILE RD NW STE 1GRAND RAPIDS, MI, 495448216Browse MI providers · Browse ZIP 49544
- Phone
- 6164609814
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in GRAND RAPIDS, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. NICOLE RENEE MOBERLY | MT | 1780858365 |
| MRS. BRENDA J PAYNE | CMT | 1184862666 |
| GRACE B HINKLE | MT | 1326376690 |
| MR. MARCUS E WEBB | CMT | 1134436397 |
| JOANN SOUTHERN | 2705001197 | 1578847612 |
| MS. KELLY MARIE PAHMAN | CST | 1073880407 |
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.