Odalis Leandra Canut, LMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA64651 Issued in FL

Practice address

980 Bolton Rd
New Smyrna Beach, FL 32168-8406

Phone

(386) 547-1400

NPI assigned

Aug 17, 2015

Last updated

Aug 17, 2015By 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": "1439769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439769600000",
    "number": "1548636251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 BOLTON RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688406",
            "telephone_number": "386-547-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 BOLTON RD",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321688406",
            "telephone_number": "386-547-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANUT",
        "first_name": "ODALIS",
        "middle_name": "LEANDRA",
        "name_prefix": "Ms.",
        "credential": "LMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA64651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willy Alberto Bustinza Farfan, D.O.
• Andrea Butler
• Melissa Cabral-Barsottelli, DC
• Victor Hugo Camba, DO
• Erica N Caney
• Rachel Caplanis, PHARMD
• Care Watch LLC
• Robert Carithers, MD
• Kim Carter Winokur, M.A.,IMH
• Jorge Luis Castaneda, M.D

• Massage Therapist in New Smyrna Beach, FL
• Providers in New Smyrna Beach, FL by specialty
• Massage Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.