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RICKY MIZELL
NPI 1417611963
Massage Therapist in Miami Gardens, FL

Active since October 29, 2021
3402 NW 197TH TER, MIAMI GARDENS, FL 33056(786) 879-2101 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ricky Mizell NPPES

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

RICKY MIZELL (NPI 1417611963) is an individual massage therapist in Miami Gardens, Florida, licensed in Florida (MA96135) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1417611963
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameRICKY MIZELL
Location Address3402 NW 197TH TERMiami Gardens, FL 33056-2278
Mailing Address3402 Nw 197th TerMiami Gardens, FL 33056-2278 · (786) 879-2101
Phone(786) 879-2101
Sole ProprietorYes
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
✔ NPI 1417611963 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 FL · MA96135
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.
3402 NW 197TH TER, Miami Gardens, FL 33056
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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 Ricky Mizell's NPI number?

The NPI number for Ricky Mizell is 1417611963. It was assigned to this individual provider in the NPPES registry on October 29, 2021.

Where is Ricky Mizell located?

Ricky Mizell practices at 3402 NW 197th Ter, Miami Gardens, FL 33056. The listed phone number is (786) 879-2101.

What is Ricky Mizell'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 Ricky Mizell was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.