Individual
LEANDRA JACKSON
Active
Individual
LEANDRA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT-002445
CO
174400000X
Specialist
919508
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710343595
MEDICAL MASSAGE THERAPY
CO
Enumeration date
07/16/2009
Last updated
04/13/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up