Healthcare Provider Details

I. General information

NPI: 1285590331
Provider Name (Legal Business Name): SHANA BEST LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2026
Last Update Date: 01/02/2026
Certification Date: 01/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2766 KADLEC DR APT 2
BELOIT WI
53511-6623
US

IV. Provider business mailing address

2766 KADLEC DR APT 2
BELOIT WI
53511-6623
US

V. Phone/Fax

Practice location:
  • Phone: 262-202-4150
  • Fax:
Mailing address:
  • Phone: 262-202-4150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number12339-146
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: