Healthcare Provider Details

I. General information

NPI: 1346132248
Provider Name (Legal Business Name): MICHELE L CRANFORD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2025
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5599 STEWART ST
MILTON FL
32570-4344
US

IV. Provider business mailing address

6970 KLONDIKE RD
PENSACOLA FL
32526-8585
US

V. Phone/Fax

Practice location:
  • Phone: 850-530-8082
  • Fax:
Mailing address:
  • Phone: 931-206-0114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA107703
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: