Marielle Grace Shoffstall, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA48313 Issued in FL

Practice address

10401 US Highway 441
Suite 326
Leesburg, FL 34788-8787

Phone

(352) 365-6155

NPI assigned

Jul 28, 2008

Last updated

Jul 28, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217203200000",
    "number": "1386809424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10218 MISTY MEADOW RD",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347883300",
            "telephone_number": "352-617-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 US HIGHWAY 441",
            "address_2": "SUITE 326",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347888787",
            "telephone_number": "352-365-6155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOFFSTALL",
        "first_name": "MARIELLE",
        "middle_name": "GRACE",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA48313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Sherwood, AUD
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• Ankita Shukla, PT DPT
• Kristen Siebecker, PT
• Stephen Joseph Signore, PA-C
• Sikkema Chiropractic PA
• John D Sikkema, DC

• Massage Therapist in Leesburg, FL
• Providers in Leesburg, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.