NPI 1902484637

Shannon Ditzel, LMT

Practitioner Massage Therapist Odenton, MD

Practice location

Address: 1350 Blair Dr, Odenton, MD 21113-1333
Phone: (443) 871-4351

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence M05159 (MD)

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Registry record

NPI: 1902484637
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2021
Record last updated: 1 Apr 2021

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.