Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Jo Burch, LMT

Individual provider Massage Therapist · NPI 1750093761

Samantha Jo Burch, LMT is a Massage Therapist in Green Bay, Wisconsin. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

940 Hansen Rd Ste F
Green Bay, WI 54304-5377
Phone: (920) 496-6000
Fax: (920) 496-0998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1910 Mulberry Ln, Green Bay, WI 54304-1611 — (815) 590-3162

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 15477-146 (WI)

Record details

NPI number1750093761
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorNo
NPI enumeratedDecember 21, 2022
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

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