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

Shannon Ditzel, LMT

Individual provider Massage Therapist · NPI 1902484637

Shannon Ditzel, LMT is a Massage Therapist in Odenton, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2021
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

1350 Blair Dr
Odenton, MD 21113-1333
Phone: (443) 871-4351
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence M05159 (MD)

Record details

NPI number1902484637
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT
Sole proprietorYes
NPI enumeratedApril 1, 2021
Last updated in NPPESApril 1, 2021
Certification dateApril 1, 2021
Mailing address1350 Blair Dr, Odenton, MD 21113-1333

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