Shannon Ditzel, LMT

NPI #1902484637 in Odenton, Maryland

Provider Information

NPI Number: 1902484637
Entity Type: Individual
Name: Shannon Ditzel, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Apr 1, 2021
Last Updated: Apr 1, 2021

Practice Location

Address: 1350 BLAIR DR
City: Odenton
State: Maryland
ZIP Code: 21113-1333
Phone: (443) 871-4351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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