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

Michelle Marie Licavoli

Individual provider Massage Therapist · NPI 1295549517

Michelle Marie Licavoli is a Massage Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2025

Practice location Address checks out

20045 N 19th Ave Ste 166
Phoenix, AZ 85027-4254
Phone: (480) 253-6196
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT-16994 (AZ)

Record details

NPI number1295549517
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 5, 2025
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

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