Individual provider · Type 1 NPI
Dianna R. Tait, LMT, BCTMB
Massage Therapist · Ypsilanti, MI
NPI number
1013227560
Active
Practice location
1888 Ridgeview
Ypsilanti, MI 48198-9490
Fax (734) 971-1360
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist | 225700000X | 530489-07 (MI) |
| Massage Therapist Primary | 225700000X | 7501000286 (MI) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1013227560
Dianna R. Tait, LMT, BCTMB's National Provider Identifier is 1013227560, issued on Oct 18, 2010. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Ypsilanti, MI. The record was last updated on Aug 22, 2016.