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Leslie A Detienne
Massage Therapist in Portage, Indiana
NPI 1760640759

Leslie A Detienne is a Massage Therapist based in Portage, IN. Leslie A Detienne practices in Portage, IN. The NPI Number for Leslie A Detienne is 1760640759 and holds a License No. (Indiana).

The current practice location address for Leslie A Detienne is 5934 Us Highway 6, Portage, IN and can be reached out via phone at 219-762-7136. You can also correspond with Leslie A Detienne through the mailing address at 577 SIENNA AVE, PORTAGE, IN - 46368-2560 (mailing address contact number: 219-840-0572).

Location: 5934 Us Highway 6, Portage, IN, 46368-2560
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760640759
Provider Name
Leslie A Detienne
Credential
Provider Entity Type
Individual
Gender
Female
Address
5934 Us Highway 6, Portage, IN, 46368-2560
Phone Number
219-762-7136
Fax Number
Provider Enumeration Date
05/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5934 Us Highway 6
City
Portage
State
Indiana
Zip
46368-4946
Phone Number
219-762-7136
Fax Number
person
Provider Business Mailing Address Details
Address
577 Sienna Ave
City
Portage
State
Indiana
Zip
46368-2560
Phone Number
219-840-0572
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
()
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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