Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
GREENLEAF SOFT TISSUE THERAPY LLC
Active
Organization
GREENLEAF SOFT TISSUE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA SPENCER (OWNER/MANAGER)
(610) 452-9021
Entity
Organization
Contact information
Practice address
32 MARKET ST, BANGOR, PA 18013-1902
(610) 452-9021
Mailing address
32 MARKET ST, BANGOR, PA 18013-1902
(610) 452-9021
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
12/30/2020
Last updated
07/12/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers