Healthcare Provider Details

I. General information

NPI: 1427229020
Provider Name (Legal Business Name): SUSAN H. LANGINS RN, CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 03/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 PINECREST CT SW
PINE ISLAND MN
55963-9159
US

IV. Provider business mailing address

322 S MAIN ST
PINE ISLAND MN
55963-8642
US

V. Phone/Fax

Practice location:
  • Phone: 507-356-2444
  • Fax:
Mailing address:
  • Phone: 507-356-2444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: