MICHELLE L MANDICH (NPI# 1134422173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134422173 |
| Entity Type | Individual |
| Full Name | MICHELLE L MANDICH |
| Credential | LMT |
| Practice Address |
3636 Del Prado Blvd S. Cape Coral FL 33904 |
| Practice Telephone | 2395405560 |
| Practice Fax Number | 2395400270 |
| Mailing Telephone | 2395405560 |
| Mailing Fax Number | 2395400270 |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2010-12-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MA51120 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3636 DEL PRADO BLVD S. |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558667147 | Elizabeth Ropa | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2011-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| 1255508776 | Timothy L Snyder Dds Pa | Dentist | 4113 Del Prado Blvd South, Cape Coral, FL 33904 | 2008-05-14 |
| Find all providers in zip 33904 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477160786 | Carmen Arazbel Soni | Massage Therapist | 1032 Ne 2nd Ter, Cape Coral, FL 33909-2657 | 2020-09-30 |
| 1962019463 | Devin Lamail Townsend | Massage Therapist | 2525 Liberty Park Dr Apt 2105, Cape Coral, FL 33909-3707 | 2020-09-28 |
| 1871107821 | Kattie Foreman | Massage Therapist | 1317 Sw 11th Pl, Cape Coral, FL 33991-2920 | 2020-09-06 |
| 1093329286 | Krystall Allender | Massage Therapist | 2706 Sw 3rd Ave, Cape Coral, FL 33914-4426 | 2020-09-03 |
| 1427662998 | Holly King | Massage Therapist | 2865 Sw 25th Ave, Cape Coral, FL 33914-4704 | 2020-09-02 |
| 1831703594 | Philip Anthony Benyola Sr. | Massage Therapist | 2492 Sawgrass Lake Ct, Cape Coral, FL 33909-2947 | 2020-09-01 |
| 1629603931 | Zoe Beres | Massage Therapist | 325 Se 23rd Ave Apt 2, Cape Coral, FL 33990-1442 | 2020-03-06 |
| 1538799259 | Johanna A Beaty | Massage Therapist | 1222 Se 47th St Ste 110, Cape Coral, FL 33904-9602 | 2020-01-22 |
| 1629540281 | Kathleen M Ford | Massage Therapist | 822 Del Prado Blvd S Ste 120, Cape Coral, FL 33990-2687 | 2018-12-20 |
| 1134662802 | Danielle Ross | Massage Therapist | 3100 Del Prado Blvd S Ste 303, Cape Coral, FL 33904-7245 | 2016-11-29 |
| Find all providers in CAPE CORAL | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
Please comment or provide details below to improve the information on MICHELLE L MANDICH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.