Tracy Lynn Leeman, LMT
Individual provider Active NPI Massage Therapist · Allen Park, MI
NPI 1871963751 · NPPES record last updated Oct 5, 2015
Key facts
- NPI
- 1871963751
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 7501004677 (MI)
- Practice address
- 7740 Allen Rd
Allen Park, MI 48101-1795 - Phone
- (313) 383-4263
- NPI assigned
- Oct 5, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 7501004677 | MI | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Body Essentials Therapeutic Massage, LLC | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 7501004677 | MI | Yes |
Addresses
Primary practice location
7740 Allen Rd
Allen Park, MI 48101-1795
Mailing address
7740 Allen Rd
Allen Park, MI 48101-1795
Phone (313) 383-4263
Other names
- Tracy Lynn Leeman
Other providers in Allen Park, MI
- Lawrence a Hansen MD PLC
- Susan Carol Lazenby
- Byung Jae Jack Lee
- Cheng Chong Lee
- Stacey Lee
- Lincoln Medical Equipment, Inc
- Lincoln Park Urgent Care
- Lincoln Park Urgent Care P.C.
- Vincent P Lizzio
- Lamont Scott Logan
All providers in Allen Park, 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 Oct 5, 2015. 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.