MR. ROLLAND DEAN LEACH LMBT
NPI 1114144169
Massage Therapist in Jacksonville, NC
- Individual
- Male
- Massage Therapist
About ROLLAND LEACH
This page provides the complete NPI Profile along with additional information for Rolland Leach, a provider established in Jacksonville, North Carolina with a medical specialization in Massage Therapist. The healthcare provider is registered in the NPI registry with number 1114144169 assigned on April 2007. The practitioner's primary taxonomy code is 225700000X with license number 1584 (NC). The provider is registered as an individual and his NPI record was last updated 19 years ago.
- NPI
- 1114144169 Verify this NPI
- Provider Name
- MR. ROLLAND DEAN LEACH LMBT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1012 DANIEL DR JACKSONVILLE, NC 28540
- Location Phone
- (910) 455-7225
- Mailing Address
- 1012 DANIEL DR JACKSONVILLE, NC 28540
- Mailing Phone
- (910) 455-7225
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-19-2007
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Massage Therapist
- Taxonomy Code
- 225700000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- License No.
- 1584
- License State
- NC
- Taxonomy Description
- An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114144169, enumerated as an "individual" on April 19, 2007.
The provider is located at 1012 DANIEL DR JACKSONVILLE, NC 28540 and the phone number is (910) 455-7225.
Massage Therapist with taxonomy code 225700000X.
