Individual provider · Type 1 NPI

Shelby Vennekotter, LMT

Massage Therapist · Mishawaka, IN

NPI number 1932057791 Active

Practice location

229 Red Coach Dr Ste 106
Mishawaka, IN 46545-3195

Call (574) 318-7800 Map

Fax (574) 318-7839

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT22508561 (IN)

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 1932057791

Shelby Vennekotter, LMT's National Provider Identifier is 1932057791, issued on Mar 18, 2026. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Mishawaka, IN. The record was last updated on Mar 18, 2026.