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Mr. Michael Phillip Malle, LMT
Massage Therapist in Fort Lauderdale, Florida
NPI 1194828228

Michael Phillip Malle is a Massage Therapist based in Fort Lauderdale, FL. Michael Phillip Malle practices in Fort Lauderdale, FL and has the professional credentials of LMT. The NPI Number for Michael Phillip Malle is 1194828228 and holds a License No. MA0018174 (Florida).

The current practice location address for Michael Phillip Malle is 5975 North Federal Highway, Fort Lauderdale, FL and can be reached out via phone at 954-491-7606 and via fax at 954-491-8238.

Location: 5975 North Federal Highway, Fort Lauderdale, FL, 33308-2652
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194828228
Provider Name
Michael Phillip Malle
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
5975 North Federal Highway, Fort Lauderdale, FL, 33308-2652
Phone Number
954-491-7606
Fax Number
954-491-8238
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C6627 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
5975 North Federal Highway
City
Fort Lauderdale
State
Florida
Zip
33308-2652
Phone Number
954-491-7606
Fax Number
954-491-8238
person
Provider Business Mailing Address Details
Address
5975 North Federal Highway
City
Fort Lauderdale
State
Florida
Zip
33308-2652
Phone Number
954-491-7606
Fax Number
954-491-8238
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA0018174 (Florida)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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