Provider Demographics
NPI:1801128103
Name:LEASURE, CHRISTINA ARLEAN (LMT)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:ARLEAN
Last Name:LEASURE
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7305 BRIDGE VIEW CIR
Mailing Address - Street 2:APT 102
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33634-6112
Mailing Address - Country:US
Mailing Address - Phone:813-951-4710
Mailing Address - Fax:
Practice Address - Street 1:3707 W HAMILTON AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-4067
Practice Address - Country:US
Practice Address - Phone:813-930-0459
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist