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Shannon Ditzel, LMT
Massage Therapist in Odenton, Maryland
NPI 1902484637

Shannon Ditzel is a Massage Therapist based in Odenton, MD. Shannon Ditzel practices in Odenton, MD and has the professional credentials of LMT. The NPI Number for Shannon Ditzel is 1902484637 and holds a License No. M05159 (Maryland).

The current practice location address for Shannon Ditzel is 1350 Blair Dr, Odenton, MD and can be reached out via phone at 443-871-4351.

Location: 1350 Blair Dr, Odenton, MD, 21113-1333
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1902484637
Provider Name
Shannon Ditzel
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
1350 Blair Dr, Odenton, MD, 21113-1333
Phone Number
443-871-4351
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1350 Blair Dr
City
Odenton
State
Maryland
Zip
21113-1333
Phone Number
443-871-4351
Fax Number
person
Provider Business Mailing Address Details
Address
1350 Blair Dr
City
Odenton
State
Maryland
Zip
21113-1333
Phone Number
443-871-4351
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
M05159 (Maryland)
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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