Provider Demographics
NPI:1427229020
Name:LANGINS, SUSAN H (RN, CMT)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:H
Last Name:LANGINS
Suffix:
Gender:F
Credentials:RN, CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:322 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PINE ISLAND
Mailing Address - State:MN
Mailing Address - Zip Code:55963-8642
Mailing Address - Country:US
Mailing Address - Phone:507-356-2444
Mailing Address - Fax:
Practice Address - Street 1:310 PINECREST CT SW
Practice Address - Street 2:
Practice Address - City:PINE ISLAND
Practice Address - State:MN
Practice Address - Zip Code:55963-9159
Practice Address - Country:US
Practice Address - Phone:507-356-2444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-21
Last Update Date:2008-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist