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

Susan Katherine Anne De Shazer, LMT, CLT, MLD

Individual provider Specialist · NPI 1497009765

Susan Katherine Anne De Shazer, LMT, CLT, MLD is a Specialist in Sheboygan, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

See every abbreviation used in this directory →

Practice location Address checks out

608 N Ave
Sheboygan, WI 53083-4933
Phone: (262) 365-8958
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X
Specialist Taxonomy 174400000X · Licence 11297-146 (WI)

Record details

NPI number1497009765
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMT , CLT , MLD
Sole proprietorYes
NPI enumeratedNovember 7, 2012
Last updated in NPPESAugust 1, 2024
Certification dateAugust 1, 2024

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