Individual provider · Type 1 NPI

Leslie Susan Ko, LCMT, BCTMB

Massage Therapist · Berkeley, CA

NPI number 1457856965 Active

Practice location

1611 San Pablo Ave Ste 1
Berkeley, CA 94702-1367

Call (916) 416-0491 Map

Mailing address

1466 Cedar St
Berkeley, CA 94702-1221

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Other Specialist/Technologist 246Z00000XNone listed
Massage Therapist Primary 225700000X327 (CA)

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 1457856965

Leslie Susan Ko, LCMT, BCTMB's National Provider Identifier is 1457856965, issued on Mar 27, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Berkeley, CA. The record was last updated on Mar 30, 2025.