Amanda G Leonard, NCMMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

145 Mangili Rd
Valley Springs, CA 95252-8400

Phone

(209) 772-3930

NPI assigned

Apr 17, 2007

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

• Miss Amanda G Crain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639395163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5935 TREOSTI PL",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952529138",
            "telephone_number": "209-772-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 MANGILI RD",
            "city": "VALLEY SPRINGS",
            "state": "CA",
            "postal_code": "952528400",
            "telephone_number": "209-772-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONARD",
        "first_name": "AMANDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "NCMMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "CRAIN",
            "middle_name": "G",
            "prefix": "MISS",
            "credential": "NCMMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Valley Springs, CA
• Providers in Valley Springs, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.