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NPI Code Detail

MEDICARE: MASSAGE BY DENISE LESLIE INC.

MEDICARE: MASSAGE BY DENISE LESLIE INC.
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
1172M00000XMechanotherapist08771GA

General Provider Information

NPI Number : 1518347442
Entity Type Code : Organization
Provider Name (Legal Business Name) : MASSAGE BY DENISE LESLIE INC.
Provider Business Mailing Address
First Line : 8737 DUNWOODY PLACE
Second Line : SUITE 4
City : ATLANTA
State : GA
Zip : 30350
Country : US
Telephone Number : 404-295-7040
Fax Number :
Provider Business Practice Location Address
First Line : 8737 DUNWOODY PL
Second Line : SUITE 4
City : ATLANTA
State : GA
Zip : 30350-2985
Country : US
Telephone Number : 404-295-7040
Fax Number :
Authorized Official
Title or Position : CEO
Name : DENISE LESLIE
Credential :
Telephone Number : 404-295-7040
Provider Enumeration Date : 06/05/2015
Last Update Date : 06/05/2015

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Directions to “MASSAGE BY DENISE LESLIE INC. ” Practice Location

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