Individual
MISS LYNN D. LEYDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCTMB
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
387688-00
NATIONAL CERTIFICATION BOARD FOR THERAPEUTIC MASSAGE AND BODYWORK
—
Enumeration date
06/06/2008
Last updated
06/06/2008
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