Individual
LEAHMARIE MAPUANA TRUXAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3212 N 13TH ST, TERRE HAUTE, IN 47804-1236
(812) 460-1400
(812) 460-1402
Mailing address
3212 N 13TH ST, TERRE HAUTE, IN 47804-1236
(812) 460-1400
(812) 460-1402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21104017
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT21104017
LICENSED MASSAGE THERAPIST
IN
Enumeration date
09/24/2019
Last updated
09/24/2019
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