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Ricky Mizell
Massage Therapist in Miami Gardens, Florida
NPI 1417611963

Ricky Mizell is a Massage Therapist based in Miami Gardens, FL. Ricky Mizell practices in Miami Gardens, FL. The NPI Number for Ricky Mizell is 1417611963 and holds a License No. MA96135 (Florida).

The current practice location address for Ricky Mizell is 3402 Nw 197Th Ter, Miami Gardens, FL and can be reached out via phone at 786-879-2101.

Location: 3402 Nw 197Th Ter, Miami Gardens, FL, 33056-2278
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417611963
Provider Name
Ricky Mizell
Credential
Provider Entity Type
Individual
Gender
Male
Address
3402 Nw 197Th Ter, Miami Gardens, FL, 33056-2278
Phone Number
786-879-2101
Fax Number
Provider Enumeration Date
10/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3402 Nw 197Th Ter
City
Miami Gardens
State
Florida
Zip
33056-2278
Phone Number
786-879-2101
Fax Number
person
Provider Business Mailing Address Details
Address
3402 Nw 197Th Ter
City
Miami Gardens
State
Florida
Zip
33056-2278
Phone Number
786-879-2101
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MA96135 (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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