MEDICARE: SHEILA M DELHAGEN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	17794	NC

General Provider Information

NPI Number	:	1427881093
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA M DELHAGEN

Provider Business Mailing Address
First Line	:	1918 MORNING FOG DR
Second Line	:
City	:	FUQUAY VARINA
State	:	NC
Zip	:	27526-3553
Country	:	US
Telephone Number	:	919-649-8814
Fax Number	:

Provider Business Practice Location Address
First Line	:	3920 DOESKIN DR
Second Line	:
City	:	APEX
State	:	NC
Zip	:	27539-8644
Country	:	US
Telephone Number	:	919-649-8814
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

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Directions to “ SHEILA M DELHAGEN ” Practice Location

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