Individual
SUSAN MARIE SHOULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
5315 LYNDALE AVE S STE A, MINNEAPOLIS, MN 55419-1285
(612) 223-8064
Mailing address
14440 28TH PL N STE 200, PLYMOUTH, MN 55447-4854
(321) 772-8226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227-016917
IL
374J00000X
Doula
—
MN
Other
Enumeration date
03/11/2022
Last updated
08/15/2024
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