MR. Leonid M Potryasov, MA60290799 is a massage therapist in Vancouver, WA. The provider is 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. MR. Leonid M Potryasov, MA60290799 NPI is 1043550866. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
11300 NE FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98662-767
Phone: (360) 931-8054
Fax: (360) 882-8088
The enumeration date for this NPI number is 2/15/2013 and was last updated on 2/15/2013.