STACY LEON MLD CMT NPI 1376316117

NPI Information

  • NPI: 1376316117
  • Provider Name: STACY LEON, MLD, CMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 9535 OTIS ST
    SOUTH GATE, CA
    ZIP 90280
  • Phone: (323) 430-7748

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NPI Details

Stacy Leon, MLD, CMT is a massage therapist in South Gate, CA. 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. Stacy Leon, MLD, CMT NPI is 1376316117. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9535 OTIS ST
SOUTH GATE, CA
ZIP 90280-927
Phone: (323) 430-7748

The enumeration date for this NPI number is 11/2/2023 and was last updated on 11/2/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist91604CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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