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Brandon Leatherwood, MT
Massage Therapist in Laguna Niguel, California
NPI 1518446889

Brandon Leatherwood is a Massage Therapist based in Laguna Niguel, CA. Brandon Leatherwood practices in Laguna Niguel, CA and has the professional credentials of MT. The NPI Number for Brandon Leatherwood is 1518446889 and holds a License No. 61035 (California).

The current practice location address for Brandon Leatherwood is 30100 Town Center Dr Ste Yz, Laguna Niguel, CA and can be reached out via phone at 949-276-5401.

Location: 30100 Town Center Dr Ste Yz, Laguna Niguel, CA, 92677-2064
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518446889
Provider Name
Brandon Leatherwood
Credential
MT
Provider Entity Type
Individual
Gender
Male
Address
30100 Town Center Dr Ste Yz, Laguna Niguel, CA, 92677-2064
Phone Number
949-276-5401
Fax Number
Provider Enumeration Date
08/08/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
61035 01 CA CERTIFIED MASSAGE THERAPIST
institution
Provider Business Practice Location Address Details
Address
30100 Town Center Dr Ste Yz
City
Laguna Niguel
State
California
Zip
92677-2064
Phone Number
949-276-5401
Fax Number
person
Provider Business Mailing Address Details
Address
30100 Town Center Dr Ste Yz
City
Laguna Niguel
State
California
Zip
92677-2064
Phone Number
949-276-5401
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
61035 (California)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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