MS. LEESA ANNE WALTERS LAC LMT NPI 1578691697

NPI Information

NPI: 1578691697
Provider Name: MS. LEESA ANNE WALTERS, LAC LMT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
1230 NW GARFIELD AVE
CORVALLIS, OR
ZIP 97330
Phone: (541) 738-6117
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MS. Leesa Anne Walters, LAC LMT is a massage therapist in Corvallis, OR. 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. MS. Leesa Anne Walters, LAC LMT NPI is 1578691697. 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:

1230 NW GARFIELD AVE
CORVALLIS, OR
ZIP 97330-056
Phone: (541) 738-6117

The enumeration date for this NPI number is 3/1/2007 and was last updated on 11/28/2011.

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
1	171100000X	Acupuncturist		AC01000	OREGON	No
2	225700000X	Massage Therapist		13160	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	205542968	OTHER	OREGON	EIN

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: 4/28/2024

NPI Synchronization or Removal

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