Individual
LEESA SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20012 DANVILLE AVE, MARYSVILLE, OH 43040-9792
(937) 642-6909
Mailing address
20012 DANVILLE AVE, MARYSVILLE, OH 43040-9792
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33006538S
OH
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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