Individual provider · Type 1 NPI
Kimberly Leaks
Massage Therapist · Kenner, LA
NPI number
1205745973
Active
Practice location
3500 Chateau Blvd Ste 507
Kenner, LA 70065-2734
Mailing address
3129 Phoenix St Apt B
Kenner, LA 70065-5123
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | LA10390 (LA) |
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.
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About NPI 1205745973
Kimberly Leaks's National Provider Identifier is 1205745973, issued on Sep 7, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Kenner, LA. The record was last updated on Sep 7, 2026.