Healthcare Provider Details

I. General information

NPI: 1497913412
Provider Name (Legal Business Name): MICHELLE J MASSA D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/27/2008
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

759 SW FEDERAL HWY STE 206
STUART FL
34994-2972
US

IV. Provider business mailing address

759 SW FEDERAL HWY STE 206
STUART FL
34994-2972
US

V. Phone/Fax

Practice location:
  • Phone: 772-274-8488
  • Fax:
Mailing address:
  • Phone: 772-274-8488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14381
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: