Individual provider · Type 1 NPI

Leslie Haidez Dejesus, LMT

Massage Therapist · Falls Church, VA

NPI number 1477103802 Active

Practice location

2841 Hartland Rd Ste 403
Falls Church, VA 22043-3500

Mailing address

2500 N Van Dorn St Apt 927
Alexandria, VA 22302-1606

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0019016698 (VA)

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 1477103802

Leslie Haidez Dejesus, LMT's National Provider Identifier is 1477103802, issued on Sep 17, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Falls Church, VA. The record was last updated on Sep 17, 2019.