Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLIA MARIE BENNETT, MASSAGE THERAPIST
Active Sole ProprietorMassage Therapist · CUSTER, SD
Registration Details
- NPI Number
- 1245876093
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 26, 2019 (6.436223110753 yrs)
- Last Updated
- Nov 26, 2019
- License
-
MT-11692 (SD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
25389 MCCURRAN RANCH RDCUSTER, SD, 577308309Browse SD providers · Browse ZIP 57730
- Phone
- 6055454664
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in CUSTER, SD
| Name | Credential | NPI |
|---|---|---|
| JENNIFER TIETSORT | — | 1528442316 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.