Leslie A Detienne
Leslie A Detienne is a Massage Therapist in Portage, Indiana. Practices as a sole proprietor. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
5934 US Highway 6Portage, IN 46368-4946
Phone: (219) 762-7136
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Massage Therapist (primary) | Taxonomy 225700000X |
|---|
Record details
| NPI number | 1760640759 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 28, 2008 |
| Last updated in NPPES | May 28, 2008 |
| Mailing address | 577 Sienna Ave, Portage, IN 46368-2560 |