Individual provider · Type 1 NPI

Regina Marie Suydam, LMT

Massage Therapist · Ephrata, PA

NPI number 1962916213 Active

Practice location

918 N Reading Rd
Ephrata, PA 17522-9794

Mailing address

12 Amber Ct
Millersville, PA 17551-1344

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMSG011379 (PA)

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 1962916213

Regina Marie Suydam, LMT's National Provider Identifier is 1962916213, issued on Nov 23, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ephrata, PA. The record was last updated on Nov 23, 2017.