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Leilani Mock, LMP
Massage Therapist in Dupont, Washington
NPI 1700074499

Leilani Mock is a Massage Therapist based in Olympia, WA. Leilani Mock practices in Dupont, WA and has the professional credentials of LMP. The NPI Number for Leilani Mock is 1700074499 and holds a License No. MA00024496 (Washington).

The current practice location address for Leilani Mock is 1175 Center Dr, Dupont, WA and can be reached out via phone at 253-964-1559 and via fax at 253-964-8495.

Location: 1175 Center Dr, Dupont, WA, 98508-1009
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700074499
Provider Name
Leilani Mock
Credential
LMP
Provider Entity Type
Individual
Gender
Female
Address
1175 Center Dr, Dupont, WA, 98508-1009
Phone Number
253-964-1559
Fax Number
253-964-8495
Provider Enumeration Date
10/09/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
225310 01 WA L&I
institution
Provider Business Practice Location Address Details
Address
1175 Center Dr
City
Dupont
State
Washington
Zip
98327-7733
Phone Number
253-964-1559
Fax Number
253-964-8495
person
Provider Business Mailing Address Details
Address
1175 Center Dr
City
Dupont
State
Washington
Zip
98327-7733
Phone Number
253-964-1559
Fax Number
253-964-8495
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA00024496 (Washington)
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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