Individual provider · Type 1 NPI

Susan Diane Mackey, LMT

Massage Therapist · Toledo, OH

NPI number 1912530148 Active · reactivated Mar 5, 2020

Practice location

5810 Southwyck Blvd Ste 100E
Toledo, OH 43614-1514

Mailing address

PO Box 2578
Whitehouse, OH 43571-0578

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X33.015285 (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 1912530148

Susan Diane Mackey, LMT's National Provider Identifier is 1912530148, issued on Feb 17, 2020. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Toledo, OH. The record was last updated on Mar 5, 2020.