Leslie Kay Howe Krasselt, LMP, MMT

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00023447 Issued in WA

Practice address

12015 Marine Dr # 3425
Tulalip, WA 98271-9306

Phone

(425) 280-0621

NPI assigned

Jul 12, 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

Other names 1

• Leslie Kay Manley Former name

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": "1310428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310428800000",
    "number": "1982992806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12015 MARINE DR # 425",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719306",
            "telephone_number": "425-280-0621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12015 MARINE DR # 3425",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719306",
            "telephone_number": "425-280-0621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASSELT",
        "first_name": "LESLIE",
        "middle_name": "KAY HOWE",
        "credential": "LMP, MMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-12",
        "last_updated": "2011-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00023447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "MANLEY",
            "middle_name": "KAY",
            "credential": "LMP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robin Louise Johnson, CDP
• Gayle Ann Jones, BA, IN HS & ED., CDP
• Elissa Charlene Jules, CP61224601
• Preet Kamal, ARNP
• Oksana Kononenko
• Lynelle Lauzon
• Stephen Lee, PHARM D
• Natasha Levee, PHARM.D.
• Elizabeth F. Lobo, LMT, RC
• Alessa L Lopez-Castor, FNP-C

• Specialist in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.