Leah Deal-Schulz
Individual provider Active NPI Massage Therapist · Elroy, WI
NPI 1376293274 · NPPES record last updated Mar 24, 2022
Key facts
- NPI
- 1376293274
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 15489 (WI)
- Practice address
- W9833 Skandinava LN
Elroy, WI 53929-9635 - Phone
- (608) 462-4010
- NPI assigned
- Mar 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15489 | WI | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15489 | WI | Yes |
Addresses
Primary practice location
W9833 Skandinava LN
Elroy, WI 53929-9635
Mailing address
S3680 Beaver Creek Dr
Hillsboro, WI 54634-3028
Phone (160) 848-9444
Other providers in Elroy, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.