Leslie Ann Short, LMT is a
Massage Therapist based in Berea, Kentucky. Leslie Ann Short is licensed to practice in Kentucky (license number 165790) and her current practice location is
208 Pauline Dr Ste B, Berea, Kentucky. She can be reached at her office (for appointments etc.) via phone at
(859) 358-7251.
NPI number for Leslie Ann Short is 1689374050 and her current mailing address is 208 Pauline Dr Ste B, Berea, Kentucky. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689374050.
Healthcare Provider's Profile
| Full Name | Leslie Ann Short |
|---|
| Gender | Female |
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| Speciality | Massage Therapist |
|---|
| Location | 208 Pauline Dr Ste B, Berea, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689374050
- Provider Enumeration Date: 03/06/2023
- Last Update Date: 03/06/2023
Medical Identifiers
Medical identifiers for Leslie Ann Short such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689374050 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 165790 (Kentucky) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Leslie Ann Short is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Leslie Ann Short, LMT
208 Pauline Dr Ste B,
Berea, KY 40403-9117
Ph: () - | Leslie Ann Short, LMT
208 Pauline Dr Ste B,
Berea, KY 40403-9117
Ph: (859) 358-7251 |
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