Diana V Strickland, L.M.T.

Individual provider Active NPI Massage Therapist · Crawfordville, FL

NPI 1659484137 · NPPES record last updated Jul 7, 2009

Key facts

NPI
1659484137
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MA42632 (FL)
Practice address
94 Cottonwood St
Crawfordville, FL 32327-2142
Phone
(850) 926-6789
Fax
(850) 926-6789
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MA42632FLMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MA42632 FL Yes

Addresses

Primary practice location

94 Cottonwood St
Crawfordville, FL 32327-2142

Mailing address

PO Box 124
Crawfordville, FL 32326-0124
Phone (850) 926-6789

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 7, 2009.

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1659484137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323260124",
            "telephone_number": "850-926-6789",
            "fax_number": "850-926-6789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 COTTONWOOD ST",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272142",
            "telephone_number": "850-926-6789",
            "fax_number": "850-926-6789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "DIANA",
        "middle_name": "V",
        "name_prefix": "Ms.",
        "credential": "L.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA42632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crawfordville, FL

All providers in Crawfordville, FL · Massage Therapist in Florida

Sources for this page

Verify at the official NPI Registry.