Individual provider · Type 1 NPI

Michelle Marie Licavoli

Massage Therapist · Phoenix, AZ

NPI number 1295549517 Active

Practice location

20045 N 19th Ave Ste 166
Phoenix, AZ 85027-4254

Call (480) 253-6196 Map

Mailing address

19442 N 7th Dr
Phoenix, AZ 85027-4682

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT-16994 (AZ)

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.

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About NPI 1295549517

Michelle Marie Licavoli's National Provider Identifier is 1295549517, issued on Feb 5, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 5, 2025.