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Susan Katherine Anne De Shazer, LMT,CLT,MLD
Massage Therapist in Sheboygan, Wisconsin
NPI 1497009765

Susan Katherine Anne De Shazer is a Massage Therapist based in Sheboygan, WI. Susan Katherine Anne De Shazer practices in Sheboygan, WI and has the professional credentials of LMT,CLT,MLD. The NPI Number for Susan Katherine Anne De Shazer is 1497009765 and holds a License No. 11297-146 (Wisconsin).

The current practice location address for Susan Katherine Anne De Shazer is 608 North Ave, Sheboygan, WI and can be reached out via phone at 262-365-8958.

Location: 608 North Ave, Sheboygan, WI, 53083-4933
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497009765
Provider Name
Susan Katherine Anne De Shazer
Credential
LMT,CLT,MLD
Provider Entity Type
Individual
Gender
Female
Address
608 North Ave, Sheboygan, WI, 53083-4933
Phone Number
262-365-8958
Fax Number
Provider Enumeration Date
11/07/2012
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
608 North Ave
City
Sheboygan
State
Wisconsin
Zip
53083-4933
Phone Number
262-365-8958
Fax Number
person
Provider Business Mailing Address Details
Address
608 North Ave
City
Sheboygan
State
Wisconsin
Zip
53083-4933
Phone Number
262-365-8958
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
11297-146 (Wisconsin)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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