Susan Katherine Anne De Shazer, LMT, CLT, MLD

NPI #1497009765 in Sheboygan, Wisconsin

Provider Information

NPI Number: 1497009765
Entity Type: Individual
Name: Susan Katherine Anne De Shazer, LMT, CLT, MLD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT, CLT, MLD
Enumeration Date: Nov 7, 2012
Last Updated: Aug 1, 2024

Practice Location

Address: 608 NORTH AVE
City: Sheboygan
State: Wisconsin
ZIP Code: 53083-4933
Phone: (262) 365-8958

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X
Massage Therapist	225700000X	Primary

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