Individual provider · Type 1 NPI

Clyde Leigh Ii, MT

Massage Therapist · Grand Rapids, MI

NPI number 1790141364 Active

Practice location

890 3 Mile Rd NW Ste 1
Grand Rapids, MI 49544-8216

Call (616) 460-9814 Map

Mailing address

2060 Elmridge Dr NW
Grand Rapids, MI 49504-2306

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X7501003119 (MI)

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 1790141364

Clyde Leigh Ii, MT's National Provider Identifier is 1790141364, issued on Jan 12, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jan 12, 2016.