Individual provider · Type 1 NPI
Shellia Marie Bennett, MASSAGE THERAPIST
Massage Therapist · Custer, SD
NPI number
1245876093
Active
Practice location
25389 Mccurran Ranch Rd
Custer, SD 57730-8309
Mailing address
PO Box 125
Pringle, SD 57773-0125
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT-11692 (SD) |
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.
Other massage therapist providers in Custer
About NPI 1245876093
Shellia Marie Bennett, MASSAGE THERAPIST's National Provider Identifier is 1245876093, issued on Nov 26, 2019. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Custer, SD. The record was last updated on Nov 26, 2019.