Individual provider · Type 1 NPI

Ricky Mizell

Massage Therapist · Miami Gardens, FL

NPI number 1417611963 Active

Practice location

3402 NW 197th Ter
Miami Gardens, FL 33056-2278

Call (786) 879-2101 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA96135 (FL)

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 1417611963

Ricky Mizell's National Provider Identifier is 1417611963, issued on Oct 29, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Miami Gardens, FL. The record was last updated on Oct 29, 2021.