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SUSAN SHIVELY LMT
NPI 1871126995
Massage Therapist in Fort Wayne, IN

Active since February 17, 2020
4606 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 459-1111 Get Directions Write a Review

NPPES record last updated: February 17, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Susan Shively Lmt NPPES

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

SUSAN SHIVELY LMT (NPI 1871126995) is an individual massage therapist in Fort Wayne, Indiana, licensed in Indiana (MT21907005) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1871126995
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSUSAN SHIVELYCredential: LMT
Location Address4606 W JEFFERSON BLVDFort Wayne, IN 46804-6826
Mailing Address4606 W Jefferson BlvdFort Wayne, IN 46804-6826 · (260) 459-1111
Phone(260) 459-1111
Sole ProprietorNo
Enumeration DateFebruary 17, 2020
✔ NPI 1871126995 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 IN · MT21907005
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.
4606 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI MORING LMT
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111
GINA MCDONALD LMT
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111
ERIN KAUFFMAN LMT
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111
NILL FAMILY CHIROPRACTIC & WELLNESS CENTER, LLC
Chiropractor
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-2205
MASSAGE WORKS THERAPY CENTER LLC
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111
MICHAEL WINDSOR JR. LMT
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111
AVERY VORNDRAN LMT
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111
KEIRSTTON REITER LMT
Massage Therapist
4606 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 459-1111

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 Shively's NPI number?

The NPI number for Susan Shively is 1871126995. It was assigned to this individual provider in the NPPES registry on February 17, 2020.

Where is Susan Shively located?

Susan Shively practices at 4606 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 459-1111.

What is Susan Shively'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 Shively was last updated on February 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.