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CLYDE LEIGH II MT
NPI 1790141364
Massage Therapist in Grand Rapids, MI

Active since January 12, 2016
890 3 MILE RD NW STE 1, GRAND RAPIDS, MI 49544(616) 460-9814 Get Directions Write a Review

NPPES record last updated: January 12, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clyde Leigh Ii Mt NPPES

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

CLYDE LEIGH II MT (NPI 1790141364) is an individual massage therapist in Grand Rapids, Michigan, licensed in Michigan (7501003119) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1790141364
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameCLYDE LEIGH IICredential: MT
Location Address890 3 MILE RD NW STE 1Grand Rapids, MI 49544-8216
Mailing Address2060 Elmridge Dr NwGrand Rapids, MI 49504-2306 · (616) 648-7707
Phone(616) 460-9814
Sole ProprietorYes
Enumeration DateJanuary 12, 2016
✔ NPI 1790141364 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 MI · 7501003119
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.
890 3 MILE RD NW STE 1, Grand Rapids, MI 49544
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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 Clyde Leigh's NPI number?

The NPI number for Clyde Leigh is 1790141364. It was assigned to this individual provider in the NPPES registry on January 12, 2016.

Where is Clyde Leigh located?

Clyde Leigh practices at 890 3 Mile Rd NW Ste 1, Grand Rapids, MI 49544. The listed phone number is (616) 460-9814.

What is Clyde Leigh'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 Clyde Leigh was last updated on January 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.