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Individual

ANTHONY R LEYDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1060 N CAPITOL AVE STE E290, INDIANAPOLIS, IN 46204-1081
(317) 983-1815
Mailing address
2305 N NEW JERSEY ST, INDIANAPOLIS, IN 46205-4337
(317) 979-3930

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT21204345
IN

Other

Enumeration date
10/13/2021
Last updated
10/13/2021
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