Doctor Name: | MS. ANJA MARIA LEON-GUERRERO |
NPI Number: | 1225354889 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 16111 |
Business Practice Address: | 1386 Se Lund Ave Suite 1 Port Orchard, WA - 983665601 |
Business Phone Number: | 3608747494 |
Business Fax Number: | |
Mailing Address: | 4915 Sherlyn Ave Se, PORT ORCHARD |
State: | WA |
Postal Code: | 983677866 |
Phone Number: | 3605510457 |
Fax Number: | |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 04/07/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 16111 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
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. |