Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer Nicole Leake, LMT

Individual provider Massage Therapist · NPI 1518658871

Jennifer Nicole Leake, LMT is a Massage Therapist in Rockford, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

6778 Mill Rd Ste 300
Rockford, IL 61108-2502
Phone: (815) 977-4140
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 227.022820 (IL)

Record details

NPI number1518658871
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedMay 17, 2023
Last updated in NPPESMay 17, 2023
Certification dateMay 17, 2023

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