Individual provider · Type 1 NPI

Susan Katherine Anne De Shazer, LMT, CLT, MLD

Massage Therapist · Sheboygan, WI

NPI number 1497009765 Active

Practice location

608 North Ave
Sheboygan, WI 53083-4933

Call (262) 365-8958 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist 174400000X11297-146 (WI)
Massage Therapist Primary 225700000XNone listed

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 1497009765

Susan Katherine Anne De Shazer, LMT, CLT, MLD's National Provider Identifier is 1497009765, issued on Nov 7, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Sheboygan, WI. The record was last updated on Aug 1, 2024.