Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Leroy Joseph Wilcoxson III, CMT

Individual provider Massage Therapist · NPI 1669056156

Mr. Leroy Joseph Wilcoxson III, CMT is a Massage Therapist in Moreno Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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Practice location Address checks out

21755 Calle Monaco
Moreno Valley, CA 92557-8581
Phone: (909) 264-4196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 86569 (CA)

Record details

NPI number1669056156
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorYes
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

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