Individual
MS. LEA WILDFLOWER
Active
Individual
MS. LEA WILDFLOWER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMP
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2024-0172
NM
225700000X
Massage Therapist
22150
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22150
CAMTC
CA
01
—
MT20240172
STATE
NM
Enumeration date
07/28/2017
Last updated
11/17/2025
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