Jack Leapoldt, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA60866250 Issued in WA

Practice address

1207 SE Rasmussen Blvd Ste 119
Battle Ground, WA 98604-8618

Phone

(360) 842-8116

NPI assigned

Dec 6, 2018

Last updated

Dec 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1952872764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18222 NE 207TH AVE",
            "city": "BRUSH PRAIRIE",
            "state": "WA",
            "postal_code": "986069751",
            "telephone_number": "720-771-8347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 SE RASMUSSEN BLVD STE 119",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986048618",
            "telephone_number": "360-842-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAPOLDT",
        "first_name": "JACK",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA60866250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark S Larue, D.C.
• Joanna Lasher
• Jennifer Dawn Laughlin, PHARMD
• Trevor Laughter, LMT
• Jill Elizabeth Lawton, FNP
• Jacob Lease
• Elizabeth A Lee
• Terri Lehner, MASSAGE THERAPIST
• Erica Kayla Lenz, D.D.S.
• Krista Letsch, PA-C

• Massage Therapist in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.