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

Lanisday Basulto

Individual provider Massage Therapist · NPI 1447141361

Lanisday Basulto is a Massage Therapist in Port Charlotte, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2025

Practice location Address checks out

3762 Tamiami Trl Ste G
Port Charlotte, FL 33952-8363
Phone: (786) 715-4720
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA107301 (FL)

Record details

NPI number1447141361
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 10, 2025
Last updated in NPPESJuly 10, 2025
Certification dateJuly 9, 2025
Mailing address4543 Oakley Rd, North Port, FL 34288-2360

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