Individual provider · Type 1 NPI
Diane Michelle Huddleston, LMT
Specialist · Salem, OR
NPI number
1124197025
Active
Practice location
528 Cottage St NE Ste 204A
Salem, OR 97301-3828
Mailing address
1475 Mccoy Ave NE
Salem, OR 97303-6465
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 12344 (OR) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1124197025
Diane Michelle Huddleston, LMT's National Provider Identifier is 1124197025, issued on Nov 6, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Salem, OR. The record was last updated on Jul 8, 2007.