Individual provider · Type 1 NPI

Dianna Fennessey, L.M.P.

Massage Therapist · Vancouver, WA

NPI number 1154557486 Active

Practice location

415 SE 177th Ave
Vancouver, WA 98683-4201

Mailing address

2952 NW Ivy Ln
Camas, WA 98607-7958

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMA00017053 (WA)

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 1154557486

Dianna Fennessey, L.M.P.'s National Provider Identifier is 1154557486, issued on Jun 1, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Vancouver, WA. The record was last updated on Jun 1, 2009.