Leslie Green, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MAS-3724 Issued in ID

Practice address

1104 N 4TH St Ste B
Coeur D Alene, ID 83814-3217

Phone

(208) 292-4873

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

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.

• Logan C Martin PC

  • Chiropractor
  • Coeur d'Alene, ID
  • NPI 1477811750
  NPD

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1871220756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7430 N CALAMONTE LN",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158549",
            "telephone_number": "208-719-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 N 4TH ST STE B",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143217",
            "telephone_number": "208-292-4873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LESLIE",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "ID",
            "license": "MAS-3724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul A Grayhek, LCSW
• Joni Rae Grayson, LMT
• Anastacia Green
• Christopher Winslow Green, LCSW
• Kerry M Green, LCPC
• Margaret Marie Green, PSYD
• William M Green, PHD
• Spencer D Greendyke, MD
• Alissa Greene
• Brandon Greene, D.O.

• Massage Therapist in Coeur d'Alene, ID
• Providers in Coeur d'Alene, ID by specialty
• Massage Therapist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2022; 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.