MEDICARE: MR. STEVEN PATRICK SATTLER LMT

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	33.021774	OH

General Provider Information

NPI Number	:	1396355202
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STEVEN PATRICK SATTLER LMT

Provider Business Mailing Address
First Line	:	6823 SPRING VALLEY DR
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9487
Country	:	US
Telephone Number	:	419-866-6325
Fax Number	:	419-866-2020

Provider Business Practice Location Address
First Line	:	6823 SPRING VALLEY DR
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9487
Country	:	US
Telephone Number	:	419-866-6325
Fax Number	:	419-866-2020

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

Provider Enumeration Date	:	08/05/2020
Last Update Date	:	08/18/2020

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