Individual
MADDISON RAYLYNN LEAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3560 DELAWARE ST STE 501, BEAUMONT, TX 77706-3061
(409) 626-1811
Mailing address
3560 DELAWARE ST STE 501, BEAUMONT, TX 77706-3061
(409) 626-1811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT146125
TX
Other
Enumeration date
10/06/2025
Last updated
10/06/2025
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