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Individual

LERIDA A REYES VELEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
200 REYNOLDS AVE, FORT LEAVENWORTH, KS 66027-2336
(316) 204-3356
Mailing address
5801 NW 63RD ST APT 7305, KANSAS CITY, MO 64151-3336
(316) 204-3356

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2020040721
MO

Other

Enumeration date
11/27/2024
Last updated
11/27/2024
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