# TROY A LEAF

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1588171169
- **Gender:** Man
- **Credential:** MA60765114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225700000X | Massage Therapist | MA60765114 | WA | Yes |

## Other

- **Enumeration date:** 01/05/2018
- **Last updated:** 01/05/2018