MS. LESLIE SUSAN KO (NPI# 1457856965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457856965 |
| Entity Type | Individual |
| Full Name | MS. LESLIE SUSAN KO |
| Other Name | MS. SUZI KAWAIONIOKEKAIKAIONA KO |
| Credential | LCMT, BCTMB |
| Practice Address |
1250 Addison St Ste G Berkeley CA 94702-1713 |
| Mailing Address |
Po Box 463 El Cerrito CA 94530-0463 |
| Practice Telephone | 9164160491 |
| Mailing Telephone | 9164160491 |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 327 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1466 Cedar St, Berkeley, CA 947021221 | 9164160491 |
| Street Address |
1250 ADDISON ST STE G |
| City | BERKELEY |
| State | CA |
| Zip Code | 94702-1713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720597230 | Kelli Parnall | Occupational Therapist | 2418 Curtis St., Berkeley, CA 94702 | 2017-09-27 |
| 1801221866 | Joy Hillriegel | Marriage & Family Therapist | 2880 Sacramento St., Suite A, Berkeley, CA 94702 | 2013-09-10 |
| 1326305319 | Lloyd William Willey | Marriage & Family Therapist | 1385 Neilson St, Berkeley, CA 94702 | 2012-04-16 |
| 1497033492 | Suzanne Marie Gassner | Psychologist | 1491 Hopkins Street, Berkeley, CA 94702 | 2011-07-26 |
| 1437482353 | Johanna Mae Lelke | Chiropractor | 1250 Addison St., Suite 102, Berkeley, CA 94702 | 2009-09-10 |
| 1669693644 | Vicki Lj Young | Social Worker | 2920 Domingo St. Ste 204, Berkeley, CA 94702 | 2007-05-01 |
| 1942328935 | Michael Bradford Conant | Psychologist | 1307 University Avenue, Berkeley, CA 94702 | 2007-03-27 |
| 1659413508 | Janice Rae Ruchlis | Marriage & Family Therapist | 2302 Acton Street, Berkeley, CA 94702 | 2007-02-13 |
| 1760456149 | Francine Ann Yep | Family Medicine | 3100 San Pablo Ave Ste 310, Berkeley, CA 94702 | 2006-02-14 |
| 1033101118 | Audrey Dandrea | Family Medicine | 3100 San Pablo Ave # 310, Berkeley, CA 94702 | 2005-08-16 |
| Find all providers in zip 94702 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184221152 | Tanya Stallworth | Massage Therapist | 1625 Julia St, Berkeley, CA 94703-2017 | 2020-10-02 |
| 1427664879 | Shaoyi Dong | Massage Therapist | 850 Grizzly Peak Blvd, Berkeley, CA 94708-1314 | 2020-09-21 |
| 1376157362 | Harold C Brown | Massage Therapist | 1515 Hopkins St Apt 4, Berkeley, CA 94707-2737 | 2020-09-07 |
| 1922612613 | Mia Violetta Karoutsos | Massage Therapist | 5920 Burr Oak Ave, Berkeley, IL 60163-1425 | 2020-09-01 |
| 1316309909 | William Kester | Massage Therapist | 1913 Addison St, Ste 302, Berkeley, CA 94704-1266 | 2016-03-23 |
| 1003245994 | Carlos Josef Aparicio | Massage Therapist | 1538 Ashby Ave, Berkeley, CA 94703-2302 | 2013-11-01 |
| 1508134248 | Hisako Oba | Massage Therapist | 2718 Telegraph Ave Ste 103, Berkeley, CA 94705-1142 | 2011-12-08 |
| 1770795916 | June L. Kamerling | Massage Therapist | 2509 Milvia Street, Berkeley, CA 94704 | 2007-05-03 |
| 1275017865 | Amanda Darlene Upchurch | Massage Therapist | 1530a 5th St, Berkeley, CA 94710-1713 | 2018-09-19 |
| 1649777046 | Julia-lauren Garcia-melan | Massage Therapist | 615 Addison St, Berkeley, CA 94710-1919 | 2018-04-11 |
| Find all providers in BERKELEY | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.