Daniel Leake, LMT

Massage Therapist · Gresham, OR

Individual Active NPI

NPI number 1366830531

Practice location

1217 NE Burnside Rd Ste 701d
Gresham, OR 97030-5770
Phone
(503) 348-4797
Fax
(503) 667-3403

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NPI record

NPI
1366830531
Entity type
Individual (Type 1)
Enumeration date
December 22, 2014
Last updated
December 22, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Massage Therapist Primary 225700000X 20278 OR

Mailing address

1525 SE 139TH Ave
Portland, OR 97233-2306
Phone
(971) 998-0966
Fax
(503) 667-3403

About Daniel Leake

Daniel Leake, LMT is a healthcare provider registered in the NPI registry with the primary taxonomy Massage Therapist (code 225700000X). The practice location is 1217 NE Burnside Rd Ste 701d, Gresham, OR 97030-5770. The NPI number 1366830531 was assigned on December 22, 2014 and the record was last updated on December 22, 2014.

Daniel Leake lists a license in the registry: #20278 (OR) for Massage Therapist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Daniel Leake, LMT?

The NPI number is 1366830531.

What is the phone number of Daniel Leake?

The phone number listed for the practice location is (503) 348-4797.

Where is Daniel Leake located?

1217 NE Burnside Rd Ste 701d, Gresham, OR 97030-5770.

What is the taxonomy code for Daniel Leake?

The primary taxonomy code is 225700000X – Massage Therapist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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