CLYDE LEIGH II (NPI# 1790141364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790141364 |
| Entity Type | Individual |
| Full Name | CLYDE LEIGH II |
| Credential | MT |
| Practice Address |
890 3 Mile Rd Nw Ste 1 Grand Rapids MI 49544-8216 |
| Mailing Address |
2060 Elmridge Dr Nw Grand Rapids MI 49504-2306 |
| Practice Telephone | 6164609814 |
| Mailing Telephone | 6166487707 |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 7501003119 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
890 3 MILE RD NW STE 1 |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49544-8216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437764511 | Titiana Shanee Richardson | Social Worker | 113 Lake Michigan Drive Northwest, Grand Rapids, MI 49544 | 2020-09-15 |
| 1699317792 | Leah Grace Nesburg | Speech-Language Pathologist | 600 3 Mile Road Nw, Suite 102, Walker, MI 49544 | 2019-10-10 |
| 1316467954 | Hendrik Vanholsbeeck | Dentist | 2515 Alpine Ave Nw # A, Grand Rapids, MI 49544 | 2017-06-25 |
| 1467988584 | Leah Feenstra | Behavior Technician | 668 3 Mile Nw, Grand Rapids, MI 49544 | 2017-05-10 |
| 1760920698 | Heidi Catherine Stultz-griffey | Pharmacist | 970 4 Mile Rd Nw Apt 1d, Grand Rapids, MI 49544 | 2017-02-12 |
| 1336591791 | Nicole Totten | Dentist | 3320 Alpine Ave., Grand Rapids, MI 49544 | 2016-07-11 |
| 1255789145 | Lucas David Kelley | Technician, Other | 668 3 Mile Ave Nw, Suite 2, Grand Rapids, MI 49544 | 2016-06-01 |
| 1144611666 | Stephen Kornoely | Social Worker | 2118 3 Mile Road Nw, Grand Rapids, MI 49544 | 2015-02-06 |
| 1023368305 | Brian William Rogers | Registered Nurse | 712 North Center Dr. Nw, Grand Rapids, MI 49544 | 2012-09-14 |
| 1477885325 | Wilson and Wynn Interventions | Community/Behavioral Health | 680 Three Mile Nw, Suite 150, Grand Rapids, MI 49544 | 2010-02-03 |
| Find all providers in zip 49544 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348092 | Michael Allen Vaneerden | Massage Therapist | 1359 Emerald Ave Ne, Grand Rapids, MI 49505-5226 | 2020-08-31 |
| 1972113983 | Mary Beth Holtz | Massage Therapist | 3355 Eagle Park Dr Ne Ste 107, Grand Rapids, MI 49525-7004 | 2020-08-04 |
| 1689282824 | Annemarie Hazzard-pryor | Massage Therapist | 2050 Breton Rd Se Ste 109, Grand Rapids, MI 49546-5547 | 2020-07-14 |
| 1699308890 | Brenda Kay Purchase | Massage Therapist | 5300 Northland Dr Ne Ste F, Grand Rapids, MI 49525-1058 | 2020-02-16 |
| 1023586542 | Kayla Lynne Pettit | Massage Therapist | 435 Cherry St Se # B, Grand Rapids, MI 49503-4672 | 2018-11-02 |
| 1881160422 | Erica Kate Snay | Massage Therapist | 435 Cherry St Se Ste B, Grand Rapids, MI 49503-4672 | 2018-10-22 |
| 1720515406 | Tiffanie Ryder | Massage Therapist | 1110 Merrified St, Grand Rapids, MI 49507 | 2017-05-12 |
| 1902359706 | Cynthia Marie Thorson | Massage Therapist | 2184 Saginaw Rd Se, Grand Rapids, MI 49506-5446 | 2016-07-27 |
| 1316391477 | Kylin Mary-elizabeth Cronkhite | Massage Therapist | 710 Morris Ave Se, Apt #1, Grand Rapids, MI 49503-5324 | 2016-04-14 |
| 1992164180 | Sarita Gibbons | Massage Therapist | 1057 Bridge St Nw, Grand Rapids, MI 49504-5061 | 2016-02-16 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49544 |
Please comment or provide details below to improve the information on CLYDE LEIGH II.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.