Individual provider · Type 1 NPI

Diane Deyulia, MASSAGE THERAPIST

Massage Therapist · Bend, OR

NPI number 1649707175 Active

Practice location

141 SW 15th St Unit 47
Bend, OR 97702-1058

Mailing address

PO Box 342
Bend, OR 97709-0342

Other practice locations

  • 1435 NE 4th St Ste B, Bend, OR 97701-4268 · (541) 312-4470

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X20245 (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 1649707175

Diane Deyulia, MASSAGE THERAPIST's National Provider Identifier is 1649707175, issued on May 15, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Bend, OR. The record was last updated on Mar 17, 2018.