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DANIEL LEAKE LMT
NPI 1366830531
Massage Therapist in Gresham, OR

Active since December 22, 2014
1217 NE BURNSIDE RD STE 701D, GRESHAM, OR 97030(503) 348-4797(503) 667-3403 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Daniel Leake Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIEL LEAKE LMT (NPI 1366830531) is an individual massage therapist in Gresham, Oregon, licensed in Oregon (20278) and active in the NPI registry since December 2014.

NPPES Registry Identity

NPI1366830531
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameDANIEL LEAKECredential: LMT
Location Address1217 NE BURNSIDE RD STE 701DGresham, OR 97030-5770
Mailing Address1525 Se 139th AvePortland, OR 97233-2306 · (971) 998-0966 · Fax (503) 667-3403
Phone(503) 348-4797
Fax(503) 667-3403
Sole ProprietorYes
Enumeration DateDecember 22, 2014
✔ NPI 1366830531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in OR · 20278
Definition
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.
1217 NE BURNSIDE RD STE 701D, Gresham, OR 97030
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA LYNN WALLACE LMT
Massage Therapist
1217 NE BURNSIDE RD STE 701D
GRESHAM, OR 97030
Multnomah County (503) 665-8959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Daniel Leake's NPI number?

The NPI number for Daniel Leake is 1366830531. It was assigned to this individual provider in the NPPES registry on December 22, 2014.

Where is Daniel Leake located?

Daniel Leake practices at 1217 NE Burnside Rd Ste 701D, Gresham, OR 97030. The listed phone number is (503) 348-4797.

What is Daniel Leake's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Daniel Leake was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.