LESLIE ICARO MT NPI 1639845183

NPI Information

NPI: 1639845183
Provider Name: LESLIE ICARO, MT
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
4380 HARLAN ST STE 202
WHEAT RIDGE, CO
ZIP 80033
Phone: (303) 472-0193
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Leslie Icaro, MT is a massage therapist in Wheat Ridge, CO. 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. Leslie Icaro, MT NPI is 1639845183. 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:

4380 HARLAN ST STE 202
WHEAT RIDGE, CO
ZIP 80033-137
Phone: (303) 472-0193

The enumeration date for this NPI number is 8/16/2021 and was last updated on 8/16/2021.

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	225700000X	Massage Therapist		MT.0006164	COLORADO	Yes

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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