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

Ricky Mizell

Individual provider Massage Therapist · NPI 1417611963

Ricky Mizell is a Massage Therapist in Miami Gardens, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2021

Practice location Address checks out

3402 NW 197th Ter
Miami Gardens, FL 33056-2278
Phone: (786) 879-2101
Show map & directions

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

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MA96135 (FL)

Record details

NPI number1417611963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 29, 2021
Last updated in NPPESOctober 29, 2021
Certification dateOctober 29, 2021
Mailing address3402 Nw 197th Ter, Miami Gardens, FL 33056-2278

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