Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Leslie A Detienne

Individual provider Massage Therapist · NPI 1760640759

Leslie A Detienne is a Massage Therapist in Portage, Indiana. Practices as a sole proprietor. Registered with an NPI since 2008.

In the registry since
2008
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Practice location Address checks out

5934 US Highway 6
Portage, IN 46368-4946
Phone: (219) 762-7136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1760640759
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 28, 2008
Last updated in NPPESMay 28, 2008