Individual
STACI LEUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 REYNOLDS RD # 4198, MAUMEE, OH 43537-1692
(419) 870-4243
Mailing address
5800 CROSSBROOKE LN, WATERVILLE, OH 43566-9456
(330) 703-7456
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
33.011085
OH
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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