Individual provider · Type 1 NPI
Diane Royall, LMT
Massage Therapist · Bowie, MD
NPI number
1124595483
Active
Practice location
10111 Mlk Hwy Ste 101
Bowie, MD 20720-4231
Mailing address
10111 Mlk Jr Hwy Ste 101
Bowie, MD 20720-4231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health & Wellness Coach | 171400000X | 13603 (MD) |
| Community Health Worker | 172V00000X | 01507-24-A (MD) |
| Massage Therapist Primary | 225700000X | M05480 (MD) |
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 1124595483
Diane Royall, LMT's National Provider Identifier is 1124595483, issued on Oct 25, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bowie, MD. The record was last updated on Mar 5, 2024.