Shasta M Held, LMT,LR
Individual provider Active NPI Reflexologist · Mandan, ND
NPI 1376809269 · NPPES record last updated Apr 5, 2012
Key facts
- NPI
- 1376809269
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Reflexologist 173C00000X
- License
- RB03095 (ND)
- Practice address
- 204 10TH Ave NE
Mandan, ND 58554-3738 - Phone
- (701) 527-5151
- NPI assigned
- Apr 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| RB03095 | ND | MD | Reflexologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | RB03095 | ND | Yes |
Addresses
Primary practice location
204 10TH Ave NE
Mandan, ND 58554-3738
Mailing address
405 Burlington St SE
Mandan, ND 58554-4271
Phone (701) 527-5151
Other providers in Mandan, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2012. 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.