Shiloh J Besaw, L.M.T.

NPI #1215611231 in Menasha, Wisconsin

Provider Information

NPI Number: 1215611231
Entity Type: Individual
Name: Shiloh J Besaw, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Mechanotherapist
Credential: L.M.T.
Enumeration Date: Jun 12, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 1478 KENWOOD DR STE 104
City: Menasha
State: Wisconsin
ZIP Code: 54952-1161
Phone: (920) 714-9997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Mechanotherapist	172M00000X	Primary

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