Active NPI
Michele Gloria Marshall, LMT
- Massage Therapist
- Lakeland, FL
National Provider Identifier
1316100910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MA53717
- Practice address
- 145 Horizon Court
Lakeland, FL 33813 - Phone
- (863) 969-6198
- NPI assigned
- Jul 3, 2008
- 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 | MA53717 | FL | Primary |
Addresses
Primary practice location
145 Horizon Court
Lakeland, FL 33813
Mailing address
148 Longfellow Road
Winter Haven, FL 33884
Phone (863) 969-4173
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 |
|---|---|---|---|
| MA53717 | FL | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216857600000",
"number": "1316100910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "148 LONGFELLOW ROAD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "33884",
"telephone_number": "863-969-4173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HORIZON COURT",
"city": "LAKELAND",
"state": "FL",
"postal_code": "33813",
"telephone_number": "863-969-6198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "MICHELE",
"middle_name": "GLORIA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-03",
"last_updated": "2008-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "FL",
"license": "MA53717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.