OrganizationActive
Mellow Massage Therapy LLC
NPI 1689442303 · Massage Therapist · Lake City, FL
Provider details
- NPI number
- 1689442303
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Myka Loos, Owner(386) 209-5750
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs 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
323 S Marion Ave
Lake City, FL 32025-7065
Phone: (386) 209-5750
Street-level locationGet directions
Mailing address
323 S Marion Ave
Lake City, FL 32025-7065
Registry dates
- Enumerated
- 2023-12-12
- Last updated
- 2023-12-12
- Certified
- 2023-12-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.