Leka Cassinia Smith, NCTMB

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7501007948 Issued in MI

Practice address

17515 W 9 Mile Rd Ste 200
Southfield, MI 48075-4404

Phone

(313) 406-9668

Fax

(313) 254-6988

NPI assigned

Nov 8, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Serenity824 Massage Therapy Services

  • Massage Therapist
  • Southfield, MI
  • NPI 1437928108
  NPD Authorized official
• Massage Tea LC

  • Massage Therapist
  • Redford, MI
  • NPI 1326315433
  NPD (past)

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

{
    "created_epoch": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1851678668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754404",
            "telephone_number": "313-850-1353",
            "fax_number": "313-254-6988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17515 W 9 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754404",
            "telephone_number": "313-406-9668",
            "fax_number": "313-254-6988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEKA",
        "middle_name": "CASSINIA",
        "name_prefix": "Ms.",
        "credential": "NCTMB",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-08",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "7501007948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kavena Smith, RN
• Kaylie Smith
• Kelly Margaret Smith, LPC LLP
• Lacy Smith
• Latika R Smith, LMT
• Leroy Smith
• Londyn Smith
• Mahailey Smith
• Mark Smith, M.D.
• Markell Smith

• Massage Therapist in Southfield, MI
• Providers in Southfield, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; 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.