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

Leslie Icaro, MT

Individual provider Massage Therapist · NPI 1639845183

Leslie Icaro, MT is a Massage Therapist in Wheat Ridge, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2021
What do these letters mean?
MT — Medical Technologist
Performs laboratory testing on clinical specimens.

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Practice location Address checks out

4380 Harlan St Ste 202
Wheat Ridge, CO 80033-5137
Phone: (303) 472-0193
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT.0006164 (CO)

Record details

NPI number1639845183
Entity typeIndividual (Type 1)
GenderFemale
Credentials MT
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing address13150 Wide Acres Rd, Golden, CO 80401-4143

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