NPI Lookup
NPPES Search
Providers by State
Blog
Home
1760640759
LESLIE A DETIENNE
PORTAGE, IN
NPI
1760640759
Copy
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
Enumeration Date
2008-05-28
Last Update Date
2008-05-28
Business Address
-- LESLIE A DETIENNE
5934 US HIGHWAY 6
PORTAGE, IN 46368-4946
Phone number: 219-762-7136
Copy
Mailing Address
-- LESLIE A DETIENNE
577 SIENNA AVE
PORTAGE, IN 46368-2560
Phone number: 219-840-0572
Copy