Individual provider · Type 1 NPI

Shannon Ditzel, LMT

Massage Therapist · Odenton, MD

NPI number 1902484637 Active

Practice location

1350 Blair Dr
Odenton, MD 21113-1333

Call (443) 871-4351 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XM05159 (MD)

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 1902484637

Shannon Ditzel, LMT's National Provider Identifier is 1902484637, issued on Apr 1, 2021. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Odenton, MD. The record was last updated on Apr 1, 2021.