NPI 1992916043

Joseph O.E. Miciano, LMT

Practitioner Mechanotherapist Crestview, FL

Practice location

Address: 118 Arapaho Trl, Crestview, FL 32536-9503
Phone: (850) 496-4948

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X Licence MA 43423 (FL)

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Registry record

NPI: 1992916043
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 May 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.