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NPI Code Detail

MEDICARE: LEANNA BRIER

MEDICARE: LEANNA BRIER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist028040-1NY

General Provider Information

NPI Number : 1356805832
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEANNA BRIER
Provider Business Mailing Address
First Line : 3070 BELGIUM RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9546
Country : US
Telephone Number : 315-283-0494
Fax Number :
Provider Business Practice Location Address
First Line : 3070 BELGIUM RD
Second Line :
City : BALDWINSVILLE
State : NY
Zip : 13027-9546
Country : US
Telephone Number : 315-283-0494
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2019
Last Update Date : 01/29/2019

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Directions to “ LEANNA BRIER ” Practice Location

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