Healthcare Provider Details

I. General information

NPI: 1720627987
Provider Name (Legal Business Name): MICHELE S DEMEO LM, CPM, LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SHELLY VARELLI LM, CPM, RCS, LMT

II. Dates (important events)

Enumeration Date: 01/04/2020
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4231 MONROE ST STE 1B
TOLEDO OH
43606-1996
US

IV. Provider business mailing address

4231 MONROE ST STE 1B
TOLEDO OH
43606-1996
US

V. Phone/Fax

Practice location:
  • Phone: 419-699-2279
  • Fax:
Mailing address:
  • Phone: 419-699-2799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number7601000132
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number33.012409
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number7601000132
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: