Individual provider · Type 1 NPI

Diane L. Lewis, LMT

Massage Therapist · Gladstone, OR

NPI number 1639622855 Active

Practice location

19845 River Rd Apt A
Gladstone, OR 97027-2283

Call (760) 481-5701 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X22504 (OR)

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 1639622855

Diane L. Lewis, LMT's National Provider Identifier is 1639622855, issued on Jul 25, 2016. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Gladstone, OR. The record was last updated on Jul 25, 2016.