Individual provider · Type 1 NPI

Diana Lynn Blackwood, LMT

Massage Therapist · Clarksburg, WV

NPI number 1639309487 Active

Practice location

111 S 4th St
Clarksburg, WV 26301-2801

Call (304) 680-1580 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X2009-2570 (WV)

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 1639309487

Diana Lynn Blackwood, LMT's National Provider Identifier is 1639309487, issued on Jul 14, 2009. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Clarksburg, WV. The record was last updated on Jul 14, 2009.