Healthcare Provider Details

I. General information

NPI: 1447176623
Provider Name (Legal Business Name): NOELANI BLYE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 N SPRING GARDEN AVE
DELAND FL
32720-2560
US

IV. Provider business mailing address

514 BIRD SONG DR
DELAND FL
32720-2908
US

V. Phone/Fax

Practice location:
  • Phone: 386-736-3108
  • Fax:
Mailing address:
  • Phone: 808-927-1422
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA96517
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: