Individual provider · Type 1 NPI

Douglas Martin Shodd Sr., LMT

Massage Therapist · Warren, OH

NPI number 1588323877 Active

Practice location

2400 Niles Cortland Rd SE
Warren, OH 44484-3869

Call (330) 652-4222 Map

Fax (330) 652-0574

Mailing address

8120 Southern Blvd Apt 1
Boardman, OH 44512-6309

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.006135 (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 1588323877

Douglas Martin Shodd Sr., LMT's National Provider Identifier is 1588323877, issued on Dec 14, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Warren, OH. The record was last updated on Dec 14, 2021.