Most Relevant Information
Provider Data
| NPI Number: | 1003334533 |
| Provider Name: | LESLIE ESTELL MASSAGE THERAPIST |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 7501001938 |
Most Important Dates
| Enumeration Date: | 09/05/2017 |
| Last Updated: | 09/05/2017 |
Provider Practice Location
18944 W 7 MILE RD
DETROIT
MI
482192759
Practice Location Phone/Fax
| Phone: | 2484994216 |
| Fax: |
Provider Mailing Location
18467 FREELAND ST
DETROIT
MI
482352539
Provider Mailing Phone/Fax
| Phone: | 2484994216 |
| Fax: |