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

Michelle Angelica Tatis

Individual provider Other Specialist/Technologist · NPI 1639856859

Michelle Angelica Tatis is an Other Specialist/Technologist in Englewood, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2023
Specialties on file
2

Practice location Address checks out

20 Nordhoff Pl Ste 26
Englewood, NJ 07631-4811
Phone: (929) 499-5110
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 18KT00343100 (NJ)
Other Specialist/Technologist Taxonomy 246Z00000X

Record details

NPI number1639856859
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 29, 2023
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024