Leanne Michelle Fairchok, LMT
Individual provider Active NPI Massage Therapist · Enola, PA
NPI 1255973608 · NPPES record last updated Oct 16, 2019
Key facts
- NPI
- 1255973608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MSG011835 (PA)
- Practice address
- 125 N Enola Dr Ste 203
Enola, PA 17025-2500 - Phone
- (717) 343-0890
- NPI assigned
- Oct 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSG011835 | PA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | MSG011835 | PA | Yes |
Addresses
Primary practice location
125 N Enola Dr Ste 203
Enola, PA 17025-2500
Mailing address
202 Valley St
Enola, PA 17025-1649
Phone (717) 343-0890
Other providers in Enola, PA
- East Pennsboro Ambulance Service Inc
- East Pennsboro Area School District
- Hagir Elsheikh
- Endocrinology of Central Pennsylvania, LLC
- Diane R Ezekoye
- Abigail Lynn Farabaugh
- Kara Flickinger
- Morgan Fraser
- Charles Michael Fullem
- Gadani Associates
All providers in Enola, PA · Massage Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.