LEEANN LYKSTAD (NPI# 1902196637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902196637 |
| Entity Type | Individual |
| Full Name | LEEANN LYKSTAD |
| Practice Address |
532 Main St Bennington VT 05201-2875 |
| Mailing Address |
323 N Branch St Bennington VT 05201-2030 |
| Practice Telephone | 8024472900 |
| Mailing Telephone | 8024304432 |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2011-04-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
532 MAIN ST |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508156134 | Rebekah Jean Watkins | Massage Therapist | 532 Main St, Bennington, VT 05201-2875 | 2011-04-16 |
| 1134418643 | Nicole Joyce Bayetis | Massage Therapist | 532 Main St, Suite 2, Bennington, VT 05201-2875 | 2011-04-05 |
| 1366762171 | Leeann Mcgowan | Massage Therapist | 532 Main St, Suite 2, Bennington, VT 05201-2875 | 2010-06-03 |
| 1861723561 | Jason Hughes | Massage Therapist | 532 Main St, Bennington, VT 05201-2875 | 2010-01-19 |
| 1396076287 | Meghan Vecchione | Massage Therapist | 532 Main St, Bennington, VT 05201-2875 | 2010-01-17 |
| 1952632895 | Bethany Marie Boulger | Massage Therapist | 532 Main St, Suite 2, Bennington, VT 05201-2875 | 2010-01-15 |
| 1144382755 | Betsy Browning PC | Midwife | 532 Main St, Suite 1, Bennington, VT 05201-2875 | 2006-12-14 |
| 1952490344 | Green Mountain Midwifery & Women's Health | Advanced Practice Midwife | 532 Main St, Suite 1, Bennington, VT 05201-2875 | 2006-10-12 |
| 1285723759 | Betsy Lou Browning | Advanced Practice Midwife | 532 Main St, Suite 1, Bennington, VT 05201-2875 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
| Find all providers in zip 05201 | ||||
| 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 |
|---|---|---|---|---|
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1124334024 | Rebecca Healy | Massage Therapist | 521 South St, Bennington, VT 05201-2358 | 2010-08-30 |
| 1811232333 | Green Mountain Oasis | Massage Therapist | 469 Main St, Suite 1, Bennington, VT 05201-2159 | 2012-12-10 |
| 1508156134 | Rebekah Jean Watkins | Massage Therapist | 532 Main St, Bennington, VT 05201-2875 | 2011-04-16 |
| 1134418643 | Nicole Joyce Bayetis | Massage Therapist | 532 Main St, Suite 2, Bennington, VT 05201-2875 | 2011-04-05 |
| 1891016820 | Marlana W Freitas | Massage Therapist | 160 Benmont Ave, Suite 4, Bennington, VT 05201-1873 | 2010-06-14 |
| 1366762171 | Leeann Mcgowan | Massage Therapist | 532 Main St, Suite 2, Bennington, VT 05201-2875 | 2010-06-03 |
| 1861723561 | Jason Hughes | Massage Therapist | 532 Main St, Bennington, VT 05201-2875 | 2010-01-19 |
| 1396076287 | Meghan Vecchione | Massage Therapist | 532 Main St, Bennington, VT 05201-2875 | 2010-01-17 |
| 1952632895 | Bethany Marie Boulger | Massage Therapist | 532 Main St, Suite 2, Bennington, VT 05201-2875 | 2010-01-15 |
| Find all providers in BENNINGTON | ||||
| City | BENNINGTON |
| Zip Code | 05201 |
Please comment or provide details below to improve the information on LEEANN LYKSTAD.
| 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.