IndividualActive
Shiloh Besaw, L.M.T.
NPI 1215611231 · Mechanotherapist · Menasha, WI
Provider details
- NPI number
- 1215611231
- Entity type
- Individual
- Primary specialty
- MechanotherapistOther Service Providers
- Credential
- L.M.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 15373-146 (WI)
Specialties & taxonomies
Other Service Providers
Practice location
1478 Kenwood Dr Ste 104
Menasha, WI 54952-1161
Phone: (920) 714-9997
Fax: (920) 308-4446
Approximate (ZIP-level) locationGet directions
Mailing address
1477 Kenwood Dr Ste 200
Menasha, WI 54952-1160
Registry dates
- Enumerated
- 2023-06-12
- Last updated
- 2023-06-12
- Certified
- 2023-06-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.