Ms Leslie Susan Ko, LCMT, BCTMB - Massage Therapist in Berkeley, CA

Ms Leslie Susan Ko, LCMT, BCTMB is a Massage Therapist based in Berkeley, California. Ms Leslie Susan Ko is licensed to practice in California (license number 327) and her current practice location is 1611 San Pablo Ave Ste 1, Berkeley, California. She can be reached at her office (for appointments etc.) via phone at (916) 416-0491.

NPI number for Ms Leslie Susan Ko is 1457856965 and her current mailing address is 1466 Cedar St, Berkeley, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457856965.

Contact Information

Ms Leslie Susan Ko, LCMT, BCTMB
1611 San Pablo Ave Ste 1,
Berkeley, CA 94702-1367
(916) 416-0491
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Leslie Susan Ko
GenderFemale
SpecialityMassage Therapist
Location1611 San Pablo Ave Ste 1, Berkeley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457856965
  • Provider Enumeration Date: 03/27/2018
  • Last Update Date: 03/30/2025

Medical Identifiers

Medical identifiers for Ms Leslie Susan Ko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457856965NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225700000XMassage Therapist 327 (California)Primary
246Z00000XSpecialist/technologist, Other (NU)Secondary
172V00000XCommunity Health Worker (NU)Secondary

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. Ms Leslie Susan Ko 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 AddressPractice Location Address
Ms Leslie Susan Ko, LCMT, BCTMB
1466 Cedar St,
Berkeley, CA 94702-1221

Ph: (916) 416-0491
Ms Leslie Susan Ko, LCMT, BCTMB
1611 San Pablo Ave Ste 1,
Berkeley, CA 94702-1367

Ph: (916) 416-0491

Reviews and Comments


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