SUSAN KATHERINE ANNE DE SHAZER LMT, CLT, MLD
NPI 1497009765
Massage Therapist in Sheboygan, WI

Active since November 07, 2012
608 NORTH AVE, SHEBOYGAN, WI 53083(262) 365-8958 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan Katherine Anne De Shazer Lmt, Clt, Mld NPPES

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

SUSAN KATHERINE ANNE DE SHAZER LMT, CLT, MLD (NPI 1497009765) is an individual massage therapist in Sheboygan, Wisconsin and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1497009765
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUSAN KATHERINE ANNE DE SHAZERCredential: LMT, CLT, MLD
Location Address608 NORTH AVESheboygan, WI 53083-4933
Mailing Address608 North AveSheboygan, WI 53083-4933 · (262) 365-8958
Sole ProprietorYes
Enumeration DateNovember 7, 2012
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
NPI 1497009765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
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.
Also ListedSpecialistTaxonomy 174400000X · License 11297-146 (WI)
608 NORTH AVE, Sheboygan, WI 53083

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 Katherine De Shazer's NPI number?

The NPI number for Susan Katherine De Shazer is 1497009765. It was assigned to this individual provider in the NPPES registry on November 7, 2012.

Where is Susan Katherine De Shazer located?

Susan Katherine De Shazer practices at 608 North Ave, Sheboygan, WI 53083. The listed phone number is (262) 365-8958.

What is Susan Katherine De Shazer'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 Katherine De Shazer was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.