Michelle Licavoli

NPI 1295549517 · on the registry since 2025 · sole proprietor

Practice

Address: 20045 N 19th Ave Ste 166
Phoenix, AZ 85027
Phone: (480) 253-6196
Organisation at this address: Alina Tran Pllc
A&A Podiatry Pllc
Agave Surgery Center
Deborah L Dykema Do Pc
Arizona Heart 360, P.C.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 17

Registry record

Primary taxonomy: Massage Therapist
225700000X
Licence states on file: AZ
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2025-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona