Individual provider Active NPI

Kimberly Leaks

  • Massage Therapist
  • Kenner, LA
National Provider Identifier
1205745973
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
LA10390 Issued in LA
Practice address
3500 Chateau Blvd Ste 507
Kenner, LA 70065-2734
Phone
(504) 358-8805
NPI assigned
Sep 7, 2026
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X LA10390 LA Primary

Addresses

Primary practice location

3500 Chateau Blvd Ste 507
Kenner, LA 70065-2734

Mailing address

3129 Phoenix St Apt B
Kenner, LA 70065-5123
Phone (504) 339-1611

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1788739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1205745973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3129 PHOENIX ST APT B",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700655123",
            "telephone_number": "504-339-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CHATEAU BLVD STE 507",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652734",
            "telephone_number": "504-358-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAKS",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-07",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "LA",
            "license": "LA10390",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.