Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUSAN SHIVELY, LMT
ActiveSUSAN SHIVELY, LMT is a Massage Therapist healthcare provider located in FORT WAYNE, Indiana. NPI 1871126995 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · FORT WAYNE, IN
Registration Details
- NPI Number
- 1871126995
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 17, 2020 (6.473445961458 yrs)
- Last Updated
- Feb 17, 2020
- License
-
MT21907005 (IN)
Practice Information
- Address
-
4606 W JEFFERSON BLVDFORT WAYNE, IN, 468046826Browse IN providers · Browse ZIP 46804
- Phone
- 2604591111
- Primary Specialty
-
Massage Therapist
225700000X
Other Massage Therapist Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| MS. CAROL LYNN STEINBACH | MASSAGE THERAPIST | 1043593536 |
| MR. CHARLES EDGAR CHAPMAN | CMT | 1649512021 |
| CHANTEL WILLIAMS | — | 1194166181 |
| TERI SHEPHERD | CMT | 1588087175 |
| SARA MATTEUCCI | — | 1588066914 |
| MS. STEPHANIE FLORIN | C.M.T. | 1851775209 |
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.