Individual
MS. LESLIE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, BCTMB
Contact information
Practice address
412 N WASHINGTON AVE, PRESCOTT, AZ 86301-2679
(928) 533-9642
Mailing address
412 N WASHINGTON AVE, PRESCOTT, AZ 86301-2679
(928) 533-9642
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-02756
AZ
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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