Leo Boren, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6858140-4701 Issued in UT

Practice address

250 Red Cliffs Dr # 36B
St George, UT 84790-8167

Phone

(435) 680-0773

NPI assigned

Mar 19, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1780444802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2077 W 1575 N",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847704155",
            "telephone_number": "435-680-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RED CLIFFS DR # 36B",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847908167",
            "telephone_number": "435-680-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOREN",
        "first_name": "LEO",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "6858140-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Boorman
• Laurette Mary Bordeleau, CSW
• Andalyn Borden
• Thomas Reuben Bore, ACMHC
• Dane Arrell Boren, D.D.S.
• Noreen Ellen Borino, NP
• Ryan T Borrowman, NP-C
• Karla Borst
• Lisa Ann Borunda, C-FNP
• Karson Borup

• Massage Therapist in St George, UT
• Providers in St George, UT by specialty
• Massage Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.