Dianna Rose Roskovich, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00018716 Issued in WA

Practice address

108 22ND Ave SW Ste 12
Olympia, WA 98501

Phone

(360) 259-2747

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1902942675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 ARAB DR SE",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985016828",
            "telephone_number": "360-259-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 22ND AVE SW STE 12",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "98501",
            "telephone_number": "360-259-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1705 Arab Dr SE",
            "address_purpose": "LOCATION",
            "city": "Tumwater",
            "state": "WA",
            "postal_code": "985016828",
            "country_code": "US",
            "telephone_number": "360-259-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSKOVICH",
        "first_name": "DIANNA",
        "middle_name": "ROSE",
        "name_prefix": "Miss",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00018716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kazuko Y Rosen, OTR/L
• Susan Rosen
• Olivia Rosenfeld, CNM
• Savahn Alee Rosinbum, N.D.
• Alan Roski
• Ross Artwohl, Licsw, PLLC
• Eric Alan Ross, PA-C
• Jeanette Marie Ross, LMP
• Rosser Chiropractic PS
• Andrew P Rosser, D.C.

• Massage Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.