Individual provider · Type 1 NPI

Lily Mae Susie

Massage Therapist · Rapid City, SD

NPI number 1609773142 Active

Practice location

807 Columbus St Ste 1
Rapid City, SD 57701-3407

Call (605) 858-9571 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X12271 (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.

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About NPI 1609773142

Lily Mae Susie's National Provider Identifier is 1609773142, issued on Oct 20, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Rapid City, SD. The record was last updated on Oct 20, 2026.