IndividualActive
Elicia Prine, LMT
NPI 1528359767 · Mechanotherapist · Mayo, FL
Provider details
- NPI number
- 1528359767
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- LMT
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA62911 (FL)
Specialties & taxonomies
Other Service Providers
Practice location
122 Sw Monroe Ave
Mayo, FL 32066-4710
Phone: (386) 294-1995
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 536
Mayo, FL 32066-0536
Registry dates
- Enumerated
- 2011-04-21
- Last updated
- 2011-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.