| Doctor Name: | MRS. LEAH J TERRY |
| NPI Number: | 1750671145 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PTA, CMT |
| License Number: | MT20900843 |
| Business Practice Address: | 3211 E Moores Pike Bloomington, IN - 474017129 |
| Business Phone Number: | 8123347604 |
| Business Fax Number: | 8123347705 |
| Mailing Address: | 10747 Us Highway 50 W, BEDFORD |
| State: | IN |
| Postal Code: | 474218331 |
| Phone Number: | 8122793320 |
| Fax Number: | |
| NPI Enumeration Date: | 04/19/2011 |
| NPI Last Update Date: | 04/17/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225700000X |
| License Number: | MT20900843 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| 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. |