Cretia Lynne Leblanc, LMT, MMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT010686 Issued in GA

Practice address

16 Library LN
Tifton, GA 31794-4415

Phone

(229) 821-1704

NPI assigned

Aug 21, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Cretia Lynne Watkins Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566345600000",
    "number": "1336796671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 SANDHAMMOCK LAKE RD",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317936847",
            "telephone_number": "229-821-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 LIBRARY LN",
            "city": "TIFTON",
            "state": "GA",
            "postal_code": "317944415",
            "telephone_number": "229-821-1704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBLANC",
        "first_name": "CRETIA",
        "middle_name": "LYNNE",
        "credential": "LMT, MMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2019-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "GA",
            "license": "MT010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRETIA",
            "last_name": "WATKINS",
            "middle_name": "LYNNE",
            "credential": "LMT, MMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kamran Lateef, MD
• Anna Kennedy Lavender, FNP-BC
• Lori White Laycock
• Linh Le, RPH
• Alta M Lebeck, L.D.O.
• Henry Leboyd III, MD
• Cynthia Lee, MNT
• Barbara T Lewis, MD
• Miranda Gayle Lewis, PA
• Zodie Ann Lewis, ADMIN ASS/ CNA

• Massage Therapist in Tifton, GA
• Providers in Tifton, GA by specialty
• Massage Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.