Individual
STEPHANIE LEEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1916 SAM RITTENBERG BLVD APT 1004, CHARLESTON, SC 29407-4882
(203) 376-3163
Mailing address
1916 SAM RITTENBERG BLVD APT 1004, CHARLESTON, SC 29407-4882
(203) 376-3163
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10606
SC
225700000X
Massage Therapist
MA96259
FL
225700000X
Massage Therapist
MT135014
TX
Other
Enumeration date
01/25/2023
Last updated
06/02/2023
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