Individual
MS. TINA R LEETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4330 PANTHER DR STE 214, BOSSIER CITY, LA 71112-4234
(318) 286-0155
Mailing address
10353 BONANZA TRL, KEITHVILLE, LA 71047-8053
(318) 205-4500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LA4110
LA
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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