Provider Demographics
NPI:1508157819
Name:TROXLER, LEIGH (LMP)
Entity Type:Individual
Prefix:MISS
First Name:LEIGH
Middle Name:
Last Name:TROXLER
Suffix:
Gender:F
Credentials:LMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 N EMERSON AVE
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-2146
Mailing Address - Country:US
Mailing Address - Phone:509-663-4875
Mailing Address - Fax:
Practice Address - Street 1:102 N EMERSON AVE
Practice Address - Street 2:
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2146
Practice Address - Country:US
Practice Address - Phone:509-663-4875
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA60223106225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist