| Doctor Name: | DR. LEAH COLLINS |
| NPI Number: | 1013148840 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DOM, LMT |
| License Number: | 3765 |
| Business Practice Address: | 1348 Pacheco St Suite 206 Santa Fe, NM - 875054222 |
| Business Phone Number: | 5059882449 |
| Business Fax Number: | 5059866005 |
| Mailing Address: | 1348 Pacheco St, Suite 206 SANTA FE |
| State: | NM |
| Postal Code: | 875054222 |
| Phone Number: | 5059882449 |
| Fax Number: | 5059866005 |
| NPI Enumeration Date: | 07/28/2009 |
| NPI Last Update Date: | 05/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | 3765 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Massage Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | 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. |