Individual provider · Type 1 NPI

Logan Brian Leslie

Massage Therapist · Hampstead, NC

NPI number 1104740646 Active

Practice location

18676 US Highway 17
Hampstead, NC 28443-3227

Call (910) 821-1700 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22721 (NC)

Massage Therapist: 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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About NPI 1104740646

Logan Brian Leslie's National Provider Identifier is 1104740646, issued on Aug 6, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Hampstead, NC. The record was last updated on Aug 6, 2026.