Diane Kelly Anderson, RN, LMP
Individual provider Active NPI Massage Therapist · Monroe, WA
NPI 1962836825 · NPPES record last updated Aug 28, 2013
Key facts
- NPI
- 1962836825
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MA 60400339 (WA)
- Practice address
- 211 W Hill St
Monroe, WA 98272-1404 - Phone
- (360) 794-6620
- NPI assigned
- Aug 28, 2013
- 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)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA 60400339 | WA | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MA 60400339 | WA | Yes |
Addresses
Primary practice location
211 W Hill St
Monroe, WA 98272-1404
Mailing address
211 W Hill St
Monroe, WA 98272-1404
Phone (360) 794-6620
Other providers in Monroe, WA
- John D Allderdice
- Margarethe F. Allen
- Melysa S Allen
- Danell Rene Anderson
- David Lee Anderson
- Wendy Hilland Anderson
- Carmela Batallones Andrada
- Monica Lynn Andresen
- Sydney L Andrews
- Susan D Angelou
All providers in Monroe, WA · Massage Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2013. 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.