Individual provider · Type 1 NPI
Leeann Marie Sholl, LMT, PTA
Massage Therapist · Warren, PA
NPI number
1033775580
Active
Practice location
224 Liberty St Unit A
Warren, PA 16365-2344
Mailing address
2 Cutting St
Jamestown, NY 14701-7217
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapy Assistant | 225200000X | 010794-1 (NY) |
| Physical Therapy Assistant | 225200000X | TEI004449 (PA) |
| Massage Therapist Primary | 225700000X | MSG012750 (PA) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
About NPI 1033775580
Leeann Marie Sholl, LMT, PTA's National Provider Identifier is 1033775580, issued on May 9, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Warren, PA. The record was last updated on Jun 8, 2019.