Individual provider · Type 1 NPI

Renae Shade, LMT

Massage Therapist · North Royalton, OH

NPI number 1104717891 Active

Practice location

17601 W 130th St
North Royalton, OH 44133-5966

Mailing address

4129 Sleepy Hollow Rd
Brunswick, OH 44212-4063

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X14660 (OH)

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.

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About NPI 1104717891

Renae Shade, LMT's National Provider Identifier is 1104717891, issued on Jul 11, 2025. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in North Royalton, OH. The record was last updated on Jul 11, 2025.