Michele Gloria Marshall, LMT
Massage Therapist in Lakeland, FL. Individual provider (NPI-1).
NPI number1316100910
StatusActive
Last updated in NPPESJul 24, 2008
Details
- NPI
- 1316100910
- Entity type
- Individual (NPI-1)
- Name
- Michele Gloria Marshall
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 3, 2008
- Last updated
- Jul 24, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | MA53717 | FL | Yes |
Practice location
145 Horizon CourtLakeland, FL 33813
Phone 863-969-6198
Mailing address
148 Longfellow RoadWinter Haven, FL 33884
Phone 863-969-4173
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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