Individual
ALEXANDER LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(804) 673-9355
Mailing address
3536 GROVE AVE, RICHMOND, VA 23221-2200
(920) 215-0070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0019018130
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
227022155
LICENSED MASSAGE THERAPIST
IL
Enumeration date
02/23/2021
Last updated
08/12/2021
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