Individual provider · Type 1 NPI

Leslie Ellen Douglas, LMP

Massage Therapist · University Place, WA

NPI number 1649452434 Active

Practice location

7814 West 27th Street
University Place, WA 98466

Call (253) 224-9466 Map

Mailing address

7545 Sunset Circle West
University Place, WA 98466-3528

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00009894 (WA)

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 1649452434

Leslie Ellen Douglas, LMP's National Provider Identifier is 1649452434, issued on Dec 4, 2007. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in University Place, WA. The record was last updated on Dec 4, 2007.