Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Juan Chanelo Rodriguez, LMT

Individual provider Recreation Therapist · NPI 1093300824

Juan Chanelo Rodriguez, LMT is a Recreation Therapist in St Petersburg, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

6619 1st Ave S
St Petersburg, FL 33707-1305
Phone: (727) 623-9996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence MA75384 (FL)

Record details

NPI number1093300824
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT
Sole proprietorYes
NPI enumeratedMarch 3, 2021
Last updated in NPPESMarch 3, 2021
Certification dateMarch 3, 2021

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