Diana Christine Polainer, MCT
Individual provider Active NPI Massage Therapist · Manchester, CA
NPI 1366138752 · NPPES record last updated Apr 18, 2023
Key facts
- NPI
- 1366138752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 71413 (CA)
- Practice address
- 15700 Forest View Rd
Manchester, CA 95459-8964 - Phone
- (916) 500-1339
- NPI assigned
- Apr 18, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 71413 | CA | Yes |
Addresses
Primary practice location
15700 Forest View Rd
Manchester, CA 95459-8964
Mailing address
15700 Forest View Rd
Manchester, CA 95459-8964
Phone (916) 500-1339
Other providers in Manchester, CA
All providers in Manchester, CA · Massage Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.