Leigh Ann Moulton
Individual provider Active NPI Massage Therapist · Belmont, MI
NPI 1609385129 · NPPES record last updated Jun 16, 2018
Key facts
- NPI
- 1609385129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501008684 (MI)
- Practice address
- 6290 Jupiter Drive Suite C
Belmont, MI 49306 - Phone
- (616) 813-1521
- NPI assigned
- Sep 27, 2017
- 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 |
|---|---|---|---|
| 7501008684 | MI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501008684 | MI | Yes |
Addresses
Primary practice location
6290 Jupiter Drive Suite C
Belmont, MI 49306
Mailing address
5523 Division Ave N
Comstock Park, MI 49321-8214
Phone (616) 813-1521
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All providers in Belmont, MI · Massage Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2018. 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.