Individual provider · Type 1 NPI

Diane Broaddus, LMT

Massage Therapist · Bellingham, WA

NPI number 1477098143 Active

Practice location

55 Green Hill Rd
Bellingham, WA 98229-7718

Call (859) 339-9838 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X107950 (KY)

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 1477098143

Diane Broaddus, LMT's National Provider Identifier is 1477098143, issued on Jan 4, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bellingham, WA. The record was last updated on Jan 4, 2017.