NPI 1497009765

Susan Katherine Anne de Shazer, LMTCLTMLD

Practitioner Massage Therapist Sheboygan, WI

Practice location

Address: 608 North Ave, Sheboygan, WI 53083-4933
Phone: (262) 365-8958

Registered specialties (2)

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Specialist

Other Service Providers Taxonomy 174400000X Licence 11297-146 (WI)

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Registry record

NPI: 1497009765
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Nov 2012
Record last updated: 1 Aug 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.