IndividualActive
Mikaella Dodd
NPI 1003616830 · Massage Therapist · Jacksonville, FL
Provider details
- NPI number
- 1003616830
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- MA90057 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
13720 Old Saint Augustine Rd Ste 4
Jacksonville, FL 32258-7415
Phone: (904) 268-9100
Fax: (904) 268-9700
Street-level locationGet directions
Mailing address
9785 Crosshill Blvd Ste 108
Jacksonville, FL 32222-5889
Registry dates
- Enumerated
- 2025-03-19
- Last updated
- 2025-03-19
- Certified
- 2025-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.