Healthcare Provider Details

I. General information

NPI: 1427184639
Provider Name (Legal Business Name): SUZANNE PERANTEAU CMT, DIPL. ABT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/24/2007
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 REGENT ST STE 302
MADISON WI
53715-2634
US

IV. Provider business mailing address

4214 SHEFFIELD RD
MADISON WI
53711-4837
US

V. Phone/Fax

Practice location:
  • Phone: 608-406-2022
  • Fax: 920-365-4737
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1192-228
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11996-146
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: