Active NPI
Mykaela Janae Wetzel, LMT
- Massage Therapist
- Tallahassee, FL
National Provider Identifier
1013848506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA107307
- Practice address
- 1318 E 6TH Ave
Tallahassee, FL 32303 - Phone
- (850) 656-6606
- Fax
- (850) 878-5246
- NPI assigned
- May 26, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA107307 | FL | Primary |
Addresses
Primary practice location
1318 E 6TH Ave
Tallahassee, FL 32303
Mailing address
231 Bob Miller Rd
Crawfordville, FL 32327
Other practice location 1
820 E Park Ave
BLG H
Tallahassee, FL 32301
Phone (850) 721-1067
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA107307 | FL | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Magnolia Wellness Center, LLC | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1013848506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 BOB MILLER RD",
"city": "CRAWFORDVILLE",
"state": "FL",
"postal_code": "32327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 E 6TH AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32303",
"telephone_number": "850-656-6606",
"fax_number": "850-878-5246"
}
],
"practiceLocations": [
{
"address_1": "820 E Park Ave",
"address_2": "BLG H",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "32301",
"country_code": "US",
"telephone_number": "850-721-1067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WETZEL",
"first_name": "MYKAELA",
"middle_name": "JANAE",
"name_prefix": "Ms.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-05-26",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA107307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.