Individual
DONALD RAY LEACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
6760 TUSSING RD, SUITE 101, REYNOLDSBURG, OH 43068-4129
(740) 412-8071
Mailing address
6760 TUSSING RD, SUITE 101, REYNOLDSBURG, OH 43068
(740) 412-8071
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
021197
—
Other
Enumeration date
09/26/2013
Last updated
09/26/2013
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