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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAREN ANNE SHATTUCK, PTA, LMT

Active Sole Proprietor

KAREN ANNE SHATTUCK, PTA, LMT is a Massage Therapist healthcare provider located in ISANTI, Minnesota. NPI 1417182668 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · ISANTI, MN

Registration Details

NPI Number
1417182668
Provider Type
Individual
Gender
Female
NPI Issued
May 18, 2009 (17.207388356832 yrs)
Last Updated
Mar 17, 2018
Licenses
P160334491 (WA)
A405 (MN)
MT.0008870 (CO)
MA60587436 (WA)
Sole Proprietor
Yes

Practice Information

Address
2 ENTERPRISE AVE NE STE C1
ISANTI, MN, 550406811
Browse MN providers · Browse ZIP 55040
Phone
2064712177
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Occupational Therapist
Additional Specialty
Massage Therapist
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in ISANTI, MN

Name Credential NPI
DARIN JAMES ANDERSON 1033629316
BECKY LEE SNYDER 1003307984
MR. LOWELL B HANSEN 1124593561
MARIE FORREST 1699300632
STEPHANIE ANN ARNETT 1811586555
JOSEPH JAMES LEWELLIN NC LMBT#12980 1437835956
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.