SHANNON DITZEL LMT
NPI 1902484637
Massage Therapist in Odenton, MD

Active since April 01, 2021
1350 BLAIR DR, ODENTON, MD 21113(443) 871-4351 Get Directions Write a Review

NPPES record last updated: April 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Ditzel Lmt NPPES

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

SHANNON DITZEL LMT (NPI 1902484637) is an individual massage therapist in Odenton, Maryland, licensed in Maryland (M05159) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1902484637
Entity TypeIndividualFemale
Primary Taxonomy225700000X
Provider Legal NameSHANNON DITZELCredential: LMT
Location Address1350 BLAIR DROdenton, MD 21113-1333
Mailing Address1350 Blair DrOdenton, MD 21113-1333
Sole ProprietorYes
Enumeration DateApril 1, 2021
NPPES CertifiedApril 1, 2021
NPI 1902484637 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 MD · M05159
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.
1350 BLAIR DR, Odenton, MD 21113

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Adult Health)
1350 BLAIR DR
ODENTON, MD 21113

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 Shannon Ditzel's NPI number?

The NPI number for Shannon Ditzel is 1902484637. It was assigned to this individual provider in the NPPES registry on April 1, 2021.

Where is Shannon Ditzel located?

Shannon Ditzel practices at 1350 Blair Dr, Odenton, MD 21113. The listed phone number is (443) 871-4351.

What is Shannon Ditzel'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 Shannon Ditzel was last updated on April 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.