Individual
SPURGEON LEAVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
10515 W MARKHAM ST STE F3, LITTLE ROCK, AR 72205-2291
(501) 310-0020
Mailing address
14600 HINSON RD, LITTLE ROCK, AR 72212-2528
(501) 960-6243
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7230
AR
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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