MICHELLE MARIE LICAVOLI NPI 1295549517

NPI Information

  • NPI: 1295549517
  • Provider Name: MICHELLE MARIE LICAVOLI
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 20045 N 19TH AVE STE 166
    PHOENIX, AZ
    ZIP 85027
  • Phone: (480) 253-6196

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NPI Details

Michelle Marie Licavoli is a massage therapist in Phoenix, AZ. The provider is 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. Michelle Marie Licavoli NPI is 1295549517. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

20045 N 19TH AVE STE 166
PHOENIX, AZ
ZIP 85027-254
Phone: (480) 253-6196

The enumeration date for this NPI number is 2/5/2025 and was last updated on 2/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage TherapistMT-16994ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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