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SUSAN JEAN VANDEWALLE LMT
NPI 1306660915
Massage Therapist in Marquette, MI

Active since November 11, 2024
122 N 3RD ST, MARQUETTE, MI 49855(906) 869-4246 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Jean Vandewalle Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUSAN JEAN VANDEWALLE LMT (NPI 1306660915) is an individual massage therapist in Marquette, Michigan, licensed in Michigan (7501000087) and active in the NPI registry since November 2024. She maintains a secondary practice location in Traverse City.

NPPES Registry Identity

NPI1306660915
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUSAN JEAN VANDEWALLECredential: LMT
Location Address122 N 3RD STMarquette, MI 49855-4304
Mailing Address505 E Hewitt AveMarquette, MI 49855-3715 · (906) 869-4246
Phone(906) 869-4246
Sole ProprietorYes
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1306660915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in MI · 7501000087
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.
122 N 3RD ST, Marquette, MI 49855
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Secondary Practice Location 1

Location 11203 E Eighth StTraverse City, MI 49686-2938 · Phone (906) 869-4246

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Susan Vandewalle's NPI number?

The NPI number for Susan Vandewalle is 1306660915. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Susan Vandewalle located?

Susan Vandewalle practices at 122 N 3rd St, Marquette, MI 49855. The listed phone number is (906) 869-4246.

What is Susan Vandewalle's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Susan Vandewalle was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.