Marisol Caballero, LICENSED MASSAGE THE

Individual provider Active NPI Massage Therapist · Juno Beach, FL

NPI 1457577264 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1457577264
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
Practice address
570 Ocean Drive
Holistic Massage & Wellness Clinics #501
Juno Beach, FL 33408
Phone
(954) 491-2225
Fax
(954) 491-6862
NPI assigned
Apr 18, 2007
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Massage & Wellness Clinics Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X Yes

Addresses

Primary practice location

570 Ocean Drive
Holistic Massage & Wellness Clinics #501
Juno Beach, FL 33408

Mailing address

3510 West 80TH St
#202
Hialeah, FL 33018
Phone (305) 512-9805

Other identifiers

IdentifierTypeStateIssuer
MA47568OtherFLLICENSE NUMBER

Other providers in Juno Beach, FL

All providers in Juno Beach, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.