MICHELLE MARIE LICAVOLI
NPI 1295549517
Massage Therapist in Phoenix, AZ

Active since February 05, 2025
20045 N 19TH AVE STE 166, PHOENIX, AZ 85027(480) 253-6196 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michelle Marie Licavoli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE MARIE LICAVOLI (NPI 1295549517) is an individual massage therapist in Phoenix, Arizona, licensed in Arizona (MT-16994) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1295549517
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameMICHELLE MARIE LICAVOLI
Location Address20045 N 19TH AVE STE 166Phoenix, AZ 85027-4254
Mailing Address19442 N 7th DrPhoenix, AZ 85027-4682 · (480) 253-6196
Sole ProprietorYes
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 5, 2025
NPI 1295549517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in AZ · MT-16994
Definition
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.
20045 N 19TH AVE STE 166, Phoenix, AZ 85027

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Podiatrist
20045 N 19TH AVE STE 166
PHOENIX, AZ 85027
Clinic/Center (Podiatric)
20045 N 19TH AVE STE 166
PHOENIX, AZ 85027
Podiatrist
20045 N 19TH AVE STE 166
PHOENIX, AZ 85027

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Licavoli's NPI number?

The NPI number for Michelle Licavoli is 1295549517. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Michelle Licavoli located?

Michelle Licavoli practices at 20045 N 19th Ave Ste 166, Phoenix, AZ 85027. The listed phone number is (480) 253-6196.

What is Michelle Licavoli's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Michelle Licavoli was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.