Individual
LEAH HISCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1586 44TH ST SW, WYOMING, MI 49509-4314
(616) 834-1770
Mailing address
1586 44TH ST SW, WYOMING, MI 49509-4314
(616) 834-1770
(616) 455-6633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7501008728
MI
Other
Enumeration date
07/28/2026
Last updated
07/28/2026
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