Active NPI
Leta Ikard
- Massage Therapist
- Hickory, NC
National Provider Identifier
1114446960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10812
- Practice address
- 204 Union SQ NW
Hickory, NC 28601-6110 - Phone
- (828) 322-8008
- NPI assigned
- Sep 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 10812 | NC | Primary |
Addresses
Primary practice location
204 Union SQ NW
Hickory, NC 28601-6110
Mailing address
204 Union SQ NW
Hickory, NC 28601-6110
Phone (828) 322-8008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10812 | NC | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1505260800000",
"number": "1114446960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 UNION SQ NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016110",
"telephone_number": "828-322-8008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 UNION SQ NW",
"city": "HICKORY",
"state": "NC",
"postal_code": "286016110",
"telephone_number": "828-322-8008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IKARD",
"first_name": "LETA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-13",
"last_updated": "2017-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "NC",
"license": "10812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.