Individual provider · Type 1 NPI

Diane Wallace Koshland, C.M.T

Massage Therapist · Albany, CA

NPI number 1124391545 Active

Practice location

828 San Pablo Ave Ste 104
Albany, CA 94706-1678

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10396 (CA)

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 1124391545

Diane Wallace Koshland, C.M.T's National Provider Identifier is 1124391545, issued on Feb 15, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Albany, CA. The record was last updated on Feb 15, 2012.