Active NPI
Elizabeth Lesure, LMT
- Massage Therapist
- Freeland, WA
National Provider Identifier
1295074672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA60199573
- Practice address
- Island Athletic Club
Freeland Ave. at Hwy. 525
Freeland, WA 98249 - Phone
- (360) 331-2582
- NPI assigned
- Feb 5, 2013
- 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 | MA60199573 | WA | Primary |
Addresses
Primary practice location
Island Athletic Club
Freeland Ave. at Hwy. 525
Freeland, WA 98249
Mailing address
Island Athletic Club
Freeland Ave. at Hwy. 525
Freeland, WA 98249
Phone (360) 331-2582
Other names 1
- Ms. Elizabeth Endres
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 |
|---|---|---|---|
| MA60199573 | WA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550448000000",
"number": "1295074672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ISLAND ATHLETIC CLUB",
"address_2": "FREELAND AVE. AT HWY. 525",
"city": "FREELAND",
"state": "WA",
"postal_code": "98249",
"telephone_number": "360-331-2582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ISLAND ATHLETIC CLUB",
"address_2": "FREELAND AVE. AT HWY. 525",
"city": "FREELAND",
"state": "WA",
"postal_code": "98249",
"telephone_number": "360-331-2582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESURE",
"first_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-05",
"last_updated": "2019-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "WA",
"license": "MA60199573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "ENDRES",
"prefix": "MS.",
"credential": "LMT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Freeland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.