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

SUSAN KATHERINE ANNE DE SHAZER, LMT, CLT, MLD

Active Sole Proprietor

SUSAN KATHERINE ANNE DE SHAZER, LMT, CLT, MLD is a Massage Therapist healthcare provider located in SHEBOYGAN, Wisconsin. NPI 1497009765 is currently active in the NPPES registry. Verify at CMS.

Massage Therapist · SHEBOYGAN, WI

Registration Details

NPI Number
1497009765
Provider Type
Individual
Gender
Female
NPI Issued
Nov 7, 2012 (13.728316394501 yrs)
Last Updated
Aug 1, 2024
License
11297-146 (WI)
Sole Proprietor
Yes

Practice Information

Address
608 NORTH AVE
SHEBOYGAN, WI, 530834933
Browse WI providers · Browse ZIP 53083
Phone
2623658958
Primary Specialty
Massage Therapist
225700000X
Additional Specialty
Massage Therapist

Other Massage Therapist Providers in SHEBOYGAN, WI

Name Credential NPI
MS. SHELLEY MARY STOFFEL CMT 1003156332
RANADA JANOS 1205282407
MS. TAYLOR LEIGH THIELKE LMT 1750845772
KIM DIETZ LMT 1811458920
ALLISON CLEEREMAN 1821626821
MS. ASHLEY GRUENKE LMT 1891465852
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.